Individual
LISA HERSHISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9131 COLLEGE POINTE CT, FORT MYERS, FL 33919-3245
(239) 343-9100
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9100
(239) 343-9108
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
APRN11020342
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN11020342
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116582000
—
FL
Enumeration date
11/21/2022
Last updated
02/15/2023
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