Individual
LISA MICHELLE ISAACS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
520 MARY ST STE 340, EVANSVILLE, IN 47710-1679
(812) 450-6700
(812) 450-6710
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 450-6700
(812) 450-6710
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71003460A
IN
363LF0000X
Family Nurse Practitioner
3007272
KY
363LF0000X
Family Nurse Practitioner
71003460A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201004950
—
IN
Enumeration date
11/23/2010
Last updated
04/11/2018
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