person
Mrs. Lisa Ann Tiebauer, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Jacksonville, North Carolina
NPI 1700069044

Lisa Ann Tiebauer is a Psychiatric/Mental Health Nurse Practitioner based in Jacksonville, NC and is specialized in Psychiatric/Mental Health. Lisa Ann Tiebauer practices in Jacksonville, NC and has the professional credentials of PMHNP-BC. The NPI Number for Lisa Ann Tiebauer is 1700069044 and holds a License No. 5005198 (North Carolina).

The current practice location address for Lisa Ann Tiebauer is 200 Tarpon Trl, Jacksonville, NC and can be reached out via phone at 910-938-1114 and via fax at 910-938-1118. You can also correspond with Lisa Ann Tiebauer through the mailing address at 200 TARPON TRL, JACKSONVILLE, NC - 28546-5287 (mailing address contact number: 910-938-1114).

Location: 200 Tarpon Trl, Jacksonville, NC, 28546-5287
person
Provider Profile Details
NPI Number
1700069044
Provider Name
Lisa Ann Tiebauer
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
200 Tarpon Trl, Jacksonville, NC, 28546-5287
Phone Number
910-938-1114
Fax Number
910-938-1118
Provider Enumeration Date
12/10/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
200 Tarpon Trl
City
State
Zip
28546-5287
Phone Number
910-938-1114
Fax Number
910-938-1118
person
Provider Business Mailing Address Details
Address
200 Tarpon Trl
City
State
Zip
28546-5287
Phone Number
910-938-1114
Fax Number
910-938-1118
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
5005198 (North Carolina)
Definition
Definition to come...
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