Individual
LISA ISAKSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C, PMHNP-BC
Contact information
Practice address
1202 E LOCUST ST, EMMETT, ID 83617-2715
(208) 365-3561
(208) 365-3589
Mailing address
1202 E LOCUST ST, EMMETT, ID 83617-2715
(208) 365-3561
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-1675A
ID
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
NP-1675A
ID
Other
Enumeration date
12/17/2015
Last updated
02/20/2025
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