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:
Health care specialties
Specialty | Code | License # | 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 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1164648523 | NPPES |
Florida | MEDICAID | 308347100 |
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