Individual
LISA MARIE JERNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 BUCKEYE COVE RD, CANTON, NC 28716-4511
(828) 648-0282
(828) 648-3479
Mailing address
55 BUCKEYE COVE RD, CANTON, NC 28716-4511
(828) 648-0282
(828) 648-3479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2015-00012
NC
207Q00000X
Family Medicine Physician
ME48831
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044816800
—
FL
Enumeration date
04/20/2006
Last updated
08/30/2022
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