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Lisa Anne Brock, APRN-BC
Nurse Practitioner in Muncie, Indiana
NPI 1255422366

Lisa Anne Brock is a Nurse Practitioner based in Louisville, IN. Lisa Anne Brock practices in Muncie, IN and has the professional credentials of APRN-BC. The NPI Number for Lisa Anne Brock is 1255422366 and holds a License No. 71001294A (Indiana).

The current practice location address for Lisa Anne Brock is 4301 N Walnut St, Muncie, IN and can be reached out via phone at 765-282-0053 and via fax at 765-282-3290.

Location: 4301 N Walnut St, Muncie, IN, 40299-2361
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255422366
Provider Name
Lisa Anne Brock
Credential
APRN-BC
Provider Entity Type
Individual
Gender
Female
Address
4301 N Walnut St, Muncie, IN, 40299-2361
Phone Number
765-282-0053
Fax Number
765-282-3290
Provider Enumeration Date
09/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000507763 01 IN BCBS
200839670 05 IN
institution
Provider Business Practice Location Address Details
Address
4301 N Walnut St
City
Muncie
State
Indiana
Zip
47303-1190
Phone Number
765-282-0053
Fax Number
765-282-3290
person
Provider Business Mailing Address Details
Address
4301 N Walnut St
City
Muncie
State
Indiana
Zip
47303-1190
Phone Number
765-282-0053
Fax Number
765-282-3290
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
71001294A (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
Adult Health
Taxonomy
363LA2200X
License No.
71001294A (Indiana)
Definition
Definition to come...
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