person
Ms. Lisa Ann Weaver, FNP-C
Family Nurse Practitioner in Pulaski, Tennessee
NPI 1134124902

Lisa Ann Weaver is a Family Nurse Practitioner based in Pulaski, TN and is specialized in Family. Lisa Ann Weaver practices in Pulaski, TN and has the professional credentials of FNP-C. The NPI Number for Lisa Ann Weaver is 1134124902 and holds a License No. 79070 (Tennessee).

The current practice location address for Lisa Ann Weaver is 104 Ivy Ln, Pulaski, TN and can be reached out via phone at 931-424-1330 and via fax at 931-424-0019. You can also correspond with Lisa Ann Weaver through the mailing address at 104 IVY LN, PULASKI, TN - 38478-4550 (mailing address contact number: 931-424-1330).

Location: 104 Ivy Ln, Pulaski, TN, 38478-4550
person
Provider Profile Details
NPI Number
1134124902
Provider Name
Lisa Ann Weaver
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
104 Ivy Ln, Pulaski, TN, 38478-4550
Phone Number
931-424-1330
Fax Number
931-424-0019
Provider Enumeration Date
06/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3344019 05 TN
3710887 01 TN MEDICARE GROUP NUMBER
1659447654 01 NPI GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
104 Ivy Ln
City
State
Zip
38478-4550
Phone Number
931-424-1330
Fax Number
931-424-0019
person
Provider Business Mailing Address Details
Address
104 Ivy Ln
City
State
Zip
38478-4550
Phone Number
931-424-1330
Fax Number
931-424-0019
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
79070 (Tennessee)
Definition
Definition to come...
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