Individual
LISA A CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, PMHNP-BC
Contact information
Practice address
4033 RHODES AVE, NEW BOSTON, OH 45662-5556
(740) 529-1201
(740) 529-0861
Mailing address
3235 COUNTY ROAD 17, SOUTH POINT, OH 45680-7693
(740) 646-5517
(740) 529-0861
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71599
WV
363LF0000X
Family Nurse Practitioner
3015890
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.022616
OH
Other
Enumeration date
08/27/2014
Last updated
03/26/2026
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