Individual
MS. LISA INELL LARGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
900434
NC
363LW0102X
Women's Health Nurse Practitioner
Primary
184436
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
184436
RN NUMBER
NC
01
—
900434
MEDICAL BOARD NUMBER
NC
Enumeration date
09/05/2006
Last updated
02/03/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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