Jack, Lisa M

Jack, Lisa M is an individual health care provider with primary practice located at 2076 Lascassas Pike Ste B , Murfreesboro TN 37130-2085. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Jack, Lisa M can be contacted via phone (615) 535-0124.

Contact Information

Primary practice address
2076 Lascassas Pike Ste B Murfreesboro TN 37130-2085
Phone: (615) 535-0124
Fax: (615) 653-4218
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN0000008399 Tennessee

Profile Details

NPI number 1740210152
LBN Legal business name Jack, Lisa M
Credentials APRN BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Apr 30th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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