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Individual

LISA DEANN KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
2708 HIGHWAY 78 E, JASPER, AL 35501-3430
(205) 387-2253
Mailing address
2103 PAWNEE CIR, JASPER, AL 35504-9331
(205) 544-8073

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-140523
AL

Other

Enumeration date
06/14/2024
Last updated
06/18/2024
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