Rhoad, Lisa Michelle

Rhoad, Lisa Michelle is an individual health care provider with primary practice located at 3 Shircliff Way Ste 200 , Jacksonville FL 32204-4785. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Rhoad, Lisa Michelle can be contacted via phone (904) 384-3699.

Contact Information

Primary practice address
3 Shircliff Way Ste 200 Jacksonville FL 32204-4785
Phone: (904) 384-3699
Fax: (904) 384-8529
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X APRN9205597 Florida

Profile Details

NPI number 1164648523
LBN Legal business name Rhoad, Lisa Michelle
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Jun 22nd, 2023 - about 2 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 1164648523 NPPES
Florida MEDICAID 308347100

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