Pullen, Lisa May

Pullen, Lisa May is an sole proprietor health care provider with primary practice located at 119 Boone Ridge Dr Suite 201, Johnson City TN 37615-4998. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Pullen, Lisa May can be contacted via phone (423) 282-1480.

Contact Information

Primary practice address
119 Boone Ridge Dr Suite 201 Johnson City TN 37615-4998
Phone: (423) 282-1480
Fax: (423) 928-1353
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN0000123743 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X APN0000007907 Tennessee

Profile Details

NPI number 1871672717
LBN Legal business name Pullen, Lisa May
Credentials PHD., APRN, BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2006
Last updated Nov 10th, 2015 - about 9 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 1871672717 NPPES
Tennessee MEDICAID 3631311

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