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Lisa Vivienne Poling, NP
Family Nurse Practitioner in Kennesaw, Georgia
NPI 1003050576

Lisa Vivienne Poling is a Family Nurse Practitioner based in Kennesaw, GA and is specialized in Family. Lisa Vivienne Poling practices in Kennesaw, GA and has the professional credentials of NP. The NPI Number for Lisa Vivienne Poling is 1003050576 and holds a License No. RN067035NP (Georgia).

The current practice location address for Lisa Vivienne Poling is 1000 Chastain Rd Nw, Kennesaw, GA and can be reached out via phone at 678-797-2844 and via fax at 678-797-2827.

Location: 1000 Chastain Rd Nw, Kennesaw, GA, 30144-5588
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003050576
Provider Name
Lisa Vivienne Poling
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1000 Chastain Rd Nw, Kennesaw, GA, 30144-5588
Phone Number
678-797-2844
Fax Number
678-797-2827
Provider Enumeration Date
04/28/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1000 Chastain Rd Nw
City
Kennesaw
State
Georgia
Zip
30144-5588
Phone Number
678-797-2844
Fax Number
678-797-2827
person
Provider Business Mailing Address Details
Address
1000 Chastain Rd Nw
City
Kennesaw
State
Georgia
Zip
30144-5588
Phone Number
678-797-2844
Fax Number
678-797-2827
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN067035NP (Georgia)
Definition
Definition to come...
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