West, Lissa

West, Lissa is an sole proprietor health care provider with primary practice located at 3606 Maclay Blvd Ste 102 , Tallahassee FL 32312. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Nursing Service Providers / Pediatrics is her primary health care specialty. West, Lissa can be contacted via phone (805) 877-1162.

Contact Information

Primary practice address
3606 Maclay Blvd Ste 102 Tallahassee FL 32312
Phone: (805) 877-1162
Fax: (850) 671-5009
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 115113 R.N. Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 364SP0200X 7609 A.P.N. Tennessee
Nursing Service Providers / Pediatrics 163WP0200X 07609 Tennessee

Profile Details

NPI number 1003055955
LBN Legal business name West, Lissa
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 17th, 2009
Last updated Sep 21st, 2018 - about 6 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 1003055955 NPPES
Tennessee MEDICAID 5440116

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