Individual
MRS. LISA MICHELLE JEANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
75-170 HUALALAI RD STE D214, KAILUA KONA, HI 96740-1780
(808) 325-5805
(086) 574-7968
Mailing address
PO BOX 6149, KAMUELA, HI 96743-6149
(808) 887-6543
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
16232
CA
363LF0000X
Family Nurse Practitioner
Primary
APRN-3665-0
HI
Other
Enumeration date
06/08/2006
Last updated
05/26/2022
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