King, Lisa

King, Lisa is an individual health care provider with primary practice located at 2580 Jackson Ave W Ste 44 , Oxford MS 38655-5497. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. King, Lisa can be contacted via phone (662) 234-9112.

Contact Information

Primary practice address
2580 Jackson Ave W Ste 44 Oxford MS 38655-5497
Phone: (662) 234-9112
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 904865 Mississippi
Nursing Service Providers / Registered Nurse 163W00000X 879505 Mississippi

Profile Details

NPI number 1558918540
LBN Legal business name King, Lisa
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2019
Last updated Mar 2nd, 2022 - about 3 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 1558918540 NPPES
Mississippi MEDICAID 00018203

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