Lisa S Twyman, RN

Individual provider Active NPI Case Management Registered Nurse · Jackson, TN

NPI 1891863189 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1891863189
Entity type
Individual (NPI type 1)
Primary specialty
Case Management Registered Nurse 163WC0400X
License
RN0000070256 (TN)
Practice address
708 W Forest Ave
Jackson, TN 38301-3901
Phone
(731) 935-8386
NPI assigned
Dec 4, 2006
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

LicenseStateTypeSpecialty
RN0000070256TNMDCase Management Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X RN0000070256 TN Yes

Addresses

Primary practice location

708 W Forest Ave
Jackson, TN 38301-3901

Mailing address

54 Davenport Rd
Humboldt, TN 38343-6653
Phone (731) 787-7048

Other providers in Jackson, TN

All providers in Jackson, TN · Case Management Registered Nurse in Tennessee

Sources for this page

Verify at the official NPI Registry.