# MS. LISSA WEST

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1003055955
- **Gender:** F
- **Credential:** FNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0200X | Pediatric Registered Nurse | 07609 | TN | Yes |
| 163WP0200X | Pediatric Registered Nurse | 115113 R.N. | TN | — |
| 364SP0200X | Pediatric Clinical Nurse Specialist | 7609 A.P.N. | TN | — |

## Other

- **Enumeration date:** 02/17/2009
- **Last updated:** 09/21/2018