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Individual

LISA NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
20 NE SAINT LUKES BLVD STE 350, LEES SUMMIT, MO 64086-6007
(816) 347-5600
(816) 347-5674
Mailing address
20 NE SAINT LUKES BLVD STE 350, LEES SUMMIT, MO 64086-6007
(816) 347-5600
(816) 347-5674

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
14-125543031
KS
363LF0000X
Family Nurse Practitioner
Primary
2012017308
MO

Other

Enumeration date
01/16/2019
Last updated
12/31/2019
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