Individual
LISA MCCOLLUM
Active
Individual
LISA MCCOLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Taxonomy
Speciality
Code
Description
License number
State
163WX0601X
Otorhinolaryngology & Head-Neck Registered Nurse
430187
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
F430187
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP0785
PREFERRED CARE
NY
01
—
P019430187
PREFERRED CARE
NY
Enumeration date
08/14/2006
Last updated
07/05/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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