Individual
MRS. LISA E O'NEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
327 S COUNTY HIGHWAY 393 UNIT 202, SANTA ROSA BEACH, FL 32459-8209
(850) 990-0636
(850) 220-7569
Mailing address
555 CORNELIA ST, FREEPORT, FL 32439-7643
(850) 625-0186
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9452683
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
11022634
FL
363LG0600X
Gerontology Nurse Practitioner
11022634
FL
Other
Enumeration date
02/09/2021
Last updated
03/06/2026
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