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Jeanna Rennee Lisman, APN
Family Nurse Practitioner in Sullivan, Indiana
NPI 1073042131

Jeanna Rennee Lisman is a Family Nurse Practitioner based in Sullivan, IN and is specialized in Family. Jeanna Rennee Lisman practices in Sullivan, IN and has the professional credentials of APN. The NPI Number for Jeanna Rennee Lisman is 1073042131 and holds a License No. 71007087B (Indiana).

The current practice location address for Jeanna Rennee Lisman is 2229 Mary Sherman Dr, Sullivan, IN and can be reached out via phone at 812-268-3318.

Location: 2229 Mary Sherman Dr, Sullivan, IN, 47882-0230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073042131
Provider Name
Jeanna Rennee Lisman
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
2229 Mary Sherman Dr, Sullivan, IN, 47882-0230
Phone Number
812-268-3318
Fax Number
Provider Enumeration Date
06/12/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2229 Mary Sherman Dr
City
Sullivan
State
Indiana
Zip
47882-7633
Phone Number
812-268-3318
Fax Number
person
Provider Business Mailing Address Details
Address
2229 Mary Sherman Dr
City
Sullivan
State
Indiana
Zip
47882-7633
Phone Number
812-268-3318
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
71007087B (Indiana)
Definition
Definition to come...
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