Individual
LISA FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
311 23RD AVE N, NASHVILLE, TN 37203-1503
(615) 340-5607
Mailing address
311 23RD AVE N, NASHVILLE, TN 37203-1503
(615) 340-5607
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN0000085961
TN
Other
Enumeration date
02/01/2011
Last updated
02/01/2011
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