Individual
MRS. LISA MARIE JEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP-BC
Contact information
Practice address
1000 HOUGHTON AVE, SAGINAW, MI 48602-5303
(989) 746-7500
(989) 583-6955
Mailing address
1000 HOUGHTON AVE, SAGINAW, MI 48602-5303
(989) 746-7500
(989) 583-7834
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704253483
MI
363LP0200X
Pediatric Nurse Practitioner
4704253483
MI
Other
Enumeration date
12/13/2010
Last updated
03/31/2021
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