Individual
LISA MICHELLE ARCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, APRN
Contact information
Practice address
36 BAZEBERRY RD, CORDOVA, TN 38018-7754
(901) 483-6278
Mailing address
1858 VINTON AVE, MEMPHIS, TN 38104-5229
(731) 334-9290
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
183388
TN
363LG0600X
Gerontology Nurse Practitioner
Primary
34782
TN
Other
Enumeration date
04/20/2022
Last updated
12/05/2023
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