Lisa Dejon Barnes, RN
Individual provider Active NPI Registered Nurse · Pearl Harbor, HI
NPI 1053648121 · NPPES record last updated Nov 11, 2009
Key facts
- NPI
- 1053648121
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 0001207299 (VA)
- Practice address
- 480 Central Ave
Pearl Harbor, HI 96860-4908 - Phone
- (808) 473-1880
- NPI assigned
- Nov 11, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001207299 | VA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001207299 | VA | Yes |
Addresses
Primary practice location
480 Central Ave
Pearl Harbor, HI 96860-4908
Mailing address
480 Central Avenue
Naval Health Clinic Hawaii
Pearl Harbor, HI 96860-4908
Phone (808) 473-1880
Other providers in Pearl Harbor, HI
- John Baleix
- Gerri Christie Bannister
- William E Barber
- Janice Jones Barlow
- Burma Keller Barnes
- Princess Juliet Bartell
- Regina Basdavanos
- Nikki Marie Bateman
- Britt Clark Bayles
- Jessica Denise Beard
All providers in Pearl Harbor, HI · Registered Nurse in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.