Lisa Downs, CRNP

Individual provider Active NPI Family Nurse Practitioner · Rockledge, PA

NPI 1942361902 · NPPES record last updated Oct 18, 2011

Key facts

NPI
1942361902
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
TP005336B (PA)
Practice address
62 Jarrett Ave
Rockledge, PA 19046-4221
Phone
(215) 663-1264
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn - Medical Group Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X TP005336B PA Yes

Addresses

Primary practice location

62 Jarrett Ave
Rockledge, PA 19046-4221

Mailing address

62 Jarrett Ave.
Rockledge PA 19046, PA 19046
Phone (215) 663-1264

Other providers in Rockledge, PA

All providers in Rockledge, PA · Family Nurse Practitioner in Pennsylvania

Sources for this page

Verify at the official NPI Registry.