Active NPIIndividual providerSole proprietor

Lisa Kebalo-Walker, APN

Nurse Practitioner, Primary Care in Lyons, New Jersey

NPI Number1689201337
Practice location
151 Knollcroft RD, Lyons, NJ 07939-5001
Fax
—
Last updated
November 28, 2022

Lisa Kebalo-Walker is a Nurse Practitioner, Primary Care based in Lyons, NJ. Lisa Kebalo-Walker practices in Lyons, NJ and has the professional credentials of APN. The NPI Number for Lisa Kebalo-Walker is 1689201337 and holds a License No. 26NR11264700 (NJ). The current practice location address for Lisa Kebalo-Walker is 151 Knollcroft RD, Lyons, NJ 07939-5001 and can be reached out via phone at 732-259-6671.

Provider Profile Details

NPI Number
1689201337
Provider Name
Lisa Kebalo-Walker
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
151 Knollcroft RD, Lyons, NJ 07939-5001
Phone Number
732-259-6671
Primary Taxonomy
Nurse Practitioner, Primary Care · 363LP2300X
Sole Proprietor
Yes
Provider Enumeration Date
March 24, 2020
Last Update Date
November 28, 2022
Certification Date
November 28, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
151 Knollcroft RD
Lyons, NJ 07939-5001
City
Lyons
Zip
07939-5001
Phone Number
732-259-6671
Lyons, NJ 07939Get directions →

Provider Business Mailing Address Details

Address
151 Knollcroft RD
Lyons, NJ 07939-5001
City
Lyons
State
NJ
Zip
07939-5001
Phone Number
732-259-6671

License Information

License Number (1)
26NR11264700
License State (1)
NJ
Taxonomy (1)
Registered Nurse, Ostomy Care · 163WX1500X
License Number (2)
26NJ01018400
License State (2)
NJ
Taxonomy (2)
Clinic/Center, VA · 261QV0200X
License Number (3)
26NJ01018400
License State (3)
NJ
Taxonomy (3)
Nurse Practitioner, Primary Care · 363LP2300X · Primary
License Number (4)
26NR11264700
License State (4)
NJ
Taxonomy (4)
Registered Nurse, Wound Care · 163WW0000X
License Number (5)
26NR11264700
License State (5)
NJ
Taxonomy (5)
Registered Nurse, Continence Care · 163WC2100X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Nurse Practitioner, Primary Care providers near Lyons, NJ

View all Nurse Practitioner, Primary Care providers in Lyons →

Frequently Asked Questions

What is the NPI number of Lisa Kebalo-Walker, APN?

The NPI number of Lisa Kebalo-Walker, APN is 1689201337. It was assigned on March 24, 2020 and is currently active in the NPPES registry.

What is the specialty of Lisa Kebalo-Walker, APN?

Lisa Kebalo-Walker, APN is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X), licensed in NJ under license number 26NR11264700.

Where does Lisa Kebalo-Walker, APN practice?

The practice location is 151 Knollcroft RD, Lyons, NJ 07939-5001. The office can be reached at 732-259-6671 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689201337 directly on the NPPES registry website.

Browse related providers