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Individual

LISA COLVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP/PMHNP

Contact information

Practice address
1672 COLUMBIA HWY, DOTHAN, AL 36303-5434
(800) 951-4357
Mailing address
26213 GOOD NEWS CHAPEL RD, DOZIER, AL 36028
(334) 488-9885

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-166269
AL

Other

Enumeration date
03/12/2024
Last updated
03/12/2024
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