# LISA A CHILDRESS

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

## Provider details

- **NPI number:** 1770983785
- **Gender:** F
- **Credential:** FNP-C, PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 71599 | WV | — |
| 363LF0000X | Family Nurse Practitioner | 3015890 | KY | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | APRN.CNP.022616 | OH | Yes |

## Other

- **Enumeration date:** 08/27/2014
- **Last updated:** 03/26/2026