Lisa M Dejesus, PMHNP
Nurse Practitioner, Psych/Mental Health in Tiverton, Rhode Island
1700410628- Practice location
- 301 State Ave, Tiverton, RI 02878-1062
- Phone
- 774-300-3444
- Fax
- 774-307-9039
- Last updated
- October 8, 2025
Lisa Marie Dejesus is a Nurse Practitioner, Psych/Mental Health based in Tiverton, RI. Lisa Marie Dejesus practices in Tiverton, RI and has the professional credentials of PMHNP. The NPI Number for Lisa Marie Dejesus is 1700410628 and holds a License No. APRN02508 (RI). The current practice location address for Lisa Marie Dejesus is 301 State Ave, Tiverton, RI 02878-1062 and can be reached out via phone at 774-300-3444 and via fax at 774-307-9039.
Provider Profile Details
- NPI Number
- 1700410628
- Provider Name
- Lisa Marie Dejesus
- Credential
- PMHNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 301 State Ave, Tiverton, RI 02878-1062
- Phone Number
- 774-300-3444
- Fax Number
- 774-307-9039
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 29, 2020
- Last Update Date
- October 8, 2025
- Certification Date
- October 8, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 301 State Ave
Tiverton, RI 02878-1062 - City
- Tiverton
- State
- Rhode Island
- Zip
- 02878-1062
- Phone Number
- 774-300-3444
- Fax Number
- 774-307-9039
Provider Business Mailing Address Details
- Address
- 301 State Ave
Tiverton, RI 02878-1062 - City
- Tiverton
- State
- RI
- Zip
- 02878-1062
- Phone Number
- 774-300-3444
- Fax Number
- 774-307-9039
License Information
- License Number (1)
- APRN02508
- License State (1)
- RI
- Taxonomy (1)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
- License Number (2)
- RNRN2272709
- License State (2)
- MA
- Taxonomy (2)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Lisa M Dejesus, PMHNP?
The NPI number of Lisa M Dejesus, PMHNP is 1700410628. It was assigned on February 29, 2020 and is currently active in the NPPES registry.
What is the specialty of Lisa M Dejesus, PMHNP?
Lisa M Dejesus, PMHNP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in RI under license number APRN02508.
Where does Lisa M Dejesus, PMHNP practice?
The practice location is 301 State Ave, Tiverton, RI 02878-1062. The office can be reached at 774-300-3444 (phone) or 774-307-9039 (fax).
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 1700410628 directly on the NPPES registry website.