Individual
LISA CASTELLAW HUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP APN
Contact information
Practice address
624 NORA DRIVE, NEWBERN, TN 38059
(731) 627-9560
(731) 627-9518
Mailing address
1700 WOODLAWN AVE, DYERSBURG, TN 38024-2028
(731) 287-4500
(731) 287-4804
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APN6424
TN
363L00000X
Nurse Practitioner
Primary
RN83686
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116244
BETTER HEALTH PLAN
—
01
—
3101540
BL CROSS
TN
01
—
3101540
BLUE CROSS
—
05
—
3345045
—
TN
01
—
8857
TLC MEMPHIS MANAGED CARE
—
Enumeration date
09/09/2005
Last updated
07/08/2007
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