# LISA L. BEATTIE

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

## Provider details

- **NPI number:** 1881671501
- **Gender:** F
- **Credential:** RN/NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | 108250 | TN | Yes |

## Other

- **Enumeration date:** 12/22/2005
- **Last updated:** 03/29/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00126940 | — | MS |
| 05 | — | 1133086 | — | LA |
| 05 | — | 148244758 | — | AR |
| 05 | — | 3495911 | — | TN |
| 05 | — | 422400000 | — | ME |
| 05 | — | 97108250 | — | OK |