Individual
LISA J SELLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
509 WHEAT AVE, BAINBRIDGE, GA 39819
(229) 416-4421
(229) 416-4644
Mailing address
454 SMITH AVE, THOMASVILLE, GA 31792-5535
(229) 584-2540
(229) 226-2036
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9299705
FL
Other
Enumeration date
08/13/2018
Last updated
11/05/2018
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