Jamil, Lisa R

Jamil, Lisa R is an individual health care provider with primary practice located at 1082 E Brandon Blvd , Brandon FL 33511-5509. 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. Jamil, Lisa R can be contacted via phone (813) 689-9900.

Contact Information

Primary practice address
1082 E Brandon Blvd Brandon FL 33511-5509
Phone: (813) 689-9900
Fax: (813) 653-9696
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9172164 Florida

Profile Details

NPI number 1063705366
LBN Legal business name Jamil, Lisa R
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2011
Last updated Sep 1st, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063705366 NPPES
Florida MEDICAID PENDING

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