# JESSICA M LISK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1144008046
- **Gender:** F
- **Credential:** AG-ACNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0000X | Cardiovascular Disease Physician | 0024188126 | VA | — |
| 2080P0202X | Pediatric Cardiology Physician | 0024188126 | VA | — |
| 363LA2100X | Acute Care Nurse Practitioner | 0024188126 | VA | Yes |

## Other

- **Enumeration date:** 09/20/2023
- **Last updated:** 06/26/2025