person
Lisa Dunivan King, NP
Family Nurse Practitioner in Jackson, Tennessee
NPI 1407520786

Lisa Dunivan King is a Family Nurse Practitioner based in Henderson, TN and is specialized in Family. Lisa Dunivan King practices in Jackson, TN and has the professional credentials of NP. The NPI Number for Lisa Dunivan King is 1407520786 and holds a License No. 28972 (Tennessee).

The current practice location address for Lisa Dunivan King is 1605 S Highland Ave, Jackson, TN and can be reached out via phone at 731-424-9741 and via fax at 731-427-5241.

Location: 1605 S Highland Ave, Jackson, TN, 38340-3492
person
Provider Profile Details
NPI Number
1407520786
Provider Name
Lisa Dunivan King
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1605 S Highland Ave, Jackson, TN, 38340-3492
Phone Number
731-424-9741
Fax Number
731-427-5241
Provider Enumeration Date
08/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1605 S Highland Ave
City
State
Zip
38301-7718
Phone Number
731-424-9741
Fax Number
731-427-5241
person
Provider Business Mailing Address Details
Address
1605 S Highland Ave
City
State
Zip
38301-7718
Phone Number
731-424-9741
Fax Number
731-427-5241
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
28972 (Tennessee)
Definition
Definition to come...
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