Lisa Job, RN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1004330 Issued in MO

Practice address

3250 Gordonville Rd
Suite 250
Cape Girardeau, MO 63703-5056

Phone

(573) 331-3155

Fax

(573) 331-5096

NPI assigned

Sep 2, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Lisa Grobe Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1386746238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 GORDONVILLE RD",
            "address_2": "SUITE 250",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035056",
            "telephone_number": "573-331-3155",
            "fax_number": "573-331-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 GORDONVILLE RD",
            "address_2": "SUITE 250",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035056",
            "telephone_number": "573-331-3155",
            "fax_number": "573-331-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOB",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "1004330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "GROBE",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mollie Jennings, MA-CF
• Michael J Jessup, MD
• Rachel Elizabeth Jeter
• Peter P Jiang, MD
• Yawen Jiang, AU.D.
• Kelly Hoene Joggerst, MD
• Steven J Joggerst, MD
• John J. Russell, MD, PC
• John L Sauer, DDS, LLC
• John S RX LLLP

• Nurse Practitioner in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.