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Mrs. Lisa D Stults, FNP
Nurse Practitioner in Kokomo, Indiana
NPI 1033181599

Lisa D Stults is a Nurse Practitioner based in Indianapolis, IN. Lisa D Stults practices in Kokomo, IN and has the professional credentials of FNP. The NPI Number for Lisa D Stults is 1033181599 and holds a License No. 71001805A (Indiana).

The current practice location address for Lisa D Stults is 1907 W Sycamore St, Kokomo, IN and can be reached out via phone at 765-456-5900.

Location: 1907 W Sycamore St, Kokomo, IN, 46290-1024
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033181599
Provider Name
Lisa D Stults
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1907 W Sycamore St, Kokomo, IN, 46290-1024
Phone Number
765-456-5900
Fax Number
Provider Enumeration Date
02/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000556066 01 IN ANTHEM-BCBS
200522480 05 IN
1033181599 05 MI
institution
Provider Business Practice Location Address Details
Address
1907 W Sycamore St
City
Kokomo
State
Indiana
Zip
46901-5148
Phone Number
765-456-5900
Fax Number
person
Provider Business Mailing Address Details
Address
1907 W Sycamore St
City
Kokomo
State
Indiana
Zip
46901-5148
Phone Number
765-456-5900
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
71001805A (Indiana)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
71001805A (Indiana)
Definition
Definition to come...
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