Johnson, Lisa A

Johnson, Lisa A is an individual health care provider with primary practice located at 3200 Maccorkle Ave Se , Charleston WV 25304-1227. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Johnson, Lisa A can be contacted via phone (304) 647-6006.

Contact Information

Primary practice address
3200 Maccorkle Ave Se Charleston WV 25304-1227
Phone: (304) 647-6006
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical 364SM0705X 48703 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN48703 West Virginia

Profile Details

NPI number 1861629040
LBN Legal business name Johnson, Lisa A
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2009
Last updated Jul 6th, 2023 - about last year

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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