Individual
LISA ANN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
751 SAPPINGTON BRIDGE RD, SULLIVAN, MO 63080-2354
(573) 468-4186
Mailing address
751 SAPPINGTON BRG RD, SULLIVAN, MO 63080-2354
(573) 468-4186
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2018033948
MO
Other
Enumeration date
08/27/2018
Last updated
06/08/2021
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