Tiebauer, Lisa Ann

Tiebauer, Lisa Ann is an individual health care provider with primary practice located at 200 Tarpon Trl , Jacksonville NC 28546-5287. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Tiebauer, Lisa Ann can be contacted via phone (910) 938-1114.

Contact Information

Primary practice address
200 Tarpon Trl Jacksonville NC 28546-5287
Phone: (910) 938-1114
Fax: (910) 938-1118
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 5005198 North Carolina

Profile Details

NPI number 1700069044
LBN Legal business name Tiebauer, Lisa Ann
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2007
Last updated Mar 7th, 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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