Individual
DR. LISA J DYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-BC
Contact information
Practice address
77 STONEBRIDGE BLVD, JACKSON, TN 38305-2165
(731) 780-1986
(731) 984-9939
Mailing address
77 STONEBRIDGE BLVD, JACKSON, TN 38305-2165
(731) 780-1986
(731) 984-9939
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13930
TN
163W00000X
Registered Nurse
Primary
RN0000067203
TN
Other
Enumeration date
02/18/2009
Last updated
08/05/2014
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