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Lisa Joan Nelson, PA
Medical Physician Assistant in Penn Yan, New York
NPI 1053065680

Lisa Joan Nelson is a Medical Physician Assistant based in Geneva, NY and is specialized in Medical. Lisa Joan Nelson practices in Penn Yan, NY and has the professional credentials of PA. The NPI Number for Lisa Joan Nelson is 1053065680 and holds a License No. (New York).

The current practice location address for Lisa Joan Nelson is 112 Kimball Ave, Penn Yan, NY and can be reached out via phone at 315-536-2752.

Location: 112 Kimball Ave, Penn Yan, NY, 14456-2119
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053065680
Provider Name
Lisa Joan Nelson
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
112 Kimball Ave, Penn Yan, NY, 14456-2119
Phone Number
315-536-2752
Fax Number
Provider Enumeration Date
02/11/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
112 Kimball Ave
City
Penn Yan
State
New York
Zip
14527-1816
Phone Number
315-536-2752
Fax Number
person
Provider Business Mailing Address Details
Address
112 Kimball Ave
City
Penn Yan
State
New York
Zip
14527-1816
Phone Number
315-536-2752
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
029049 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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