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Individual
MS. LISA ANTOINETTE FAUNTLEROY
Active
Individual
MS. LISA ANTOINETTE FAUNTLEROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR24051100
NJ
364SC1501X
Community Health/Public Health Clinical Nurse Specialist
Primary
26NR24051100
NJ
Other
Enumeration date
04/24/2026
Last updated
04/28/2026
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