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Ms. Lisa Marie Shallenberger, MMS,PA-C
Psychiatric/Mental Health Nurse Practitioner in Lake Mary, Florida
NPI 1366969578

Lisa Marie Shallenberger is a Psychiatric/Mental Health Nurse Practitioner based in Lake Mary, FL and is specialized in Psychiatric/Mental Health. Lisa Marie Shallenberger practices in Lake Mary, FL and has the professional credentials of MMS,PA-C. The NPI Number for Lisa Marie Shallenberger is 1366969578 and holds a License No. PA9110578 (Florida).

The current practice location address for Lisa Marie Shallenberger is 4106 W Lake Mary Blvd Ste 205, Lake Mary, FL and can be reached out via phone at 407-851-5121.

Location: 4106 W Lake Mary Blvd Ste 205, Lake Mary, FL, 32746-4966
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366969578
Provider Name
Lisa Marie Shallenberger
Credential
MMS,PA-C
Provider Entity Type
Individual
Gender
Female
Address
4106 W Lake Mary Blvd Ste 205, Lake Mary, FL, 32746-4966
Phone Number
407-851-5121
Fax Number
Provider Enumeration Date
08/28/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA9110578 01 FL LICENSE
institution
Provider Business Practice Location Address Details
Address
4106 W Lake Mary Blvd Ste 205
City
Lake Mary
State
Florida
Zip
32746-3344
Phone Number
407-851-5121
Fax Number
person
Provider Business Mailing Address Details
Address
4106 W Lake Mary Blvd Ste 205
City
Lake Mary
State
Florida
Zip
32746-3344
Phone Number
407-851-5121
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA9110578 (Florida)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
PA9110578 (Florida)
Definition
Definition to come...
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