Individual
MS. LISA JEANNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
3811 O'HARA STREET, WPIC, PITTSBURGH, PA 15213
(412) 246-5234
(412) 246-5210
Mailing address
2015 DENNING WAY, NORTH VERSAILLES, PA 15137
(412) 824-2151
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
RN228608L
PA
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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