Individual
LISA PAIGE MIZELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2604 HIGHWAY 31 S, DECATUR, AL 35603-1506
(256) 445-3100
Mailing address
2604 HIGHWAY 31 S STE 100, DECATUR, AL 35603-1506
(256) 445-3100
(256) 445-3104
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-073714
AL
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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