Lisa Abner, ARNP
Individual provider Active NPI Nurse Practitioner · London, KY
NPI 1104063346 · NPPES record last updated Jan 9, 2009
Key facts
- NPI
- 1104063346
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 1081678 (KY)
- Practice address
- 103 Chera Lynn St
London, KY 40741-3142 - Phone
- (606) 864-4764
- Fax
- (606) 864-3732
- NPI assigned
- Jan 9, 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1081678 | KY | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1081678 | KY | Yes |
Addresses
Primary practice location
103 Chera Lynn St
London, KY 40741-3142
Mailing address
PO Box 158
Manchester, KY 40962-0158
Phone (606) 598-5564
Other providers in London, KY
- 20/20 Eyecare of London, LLC
- A Silver Lining, LLC
- Oluwole John Abe
- Absolute Case Management
- James Derrick Adams
- Mark S. Adams
- Advamed Health LLC
- Advanced Medical LLC
All providers in London, KY · Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 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.