Individual
LISA MAY PULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD., APRN, BC
Contact information
Practice address
119 BOONE RIDGE DR, SUITE 201, JOHNSON CITY, TN 37615-4998
(423) 282-1480
(423) 928-1353
Mailing address
12301 WILLOW RIDGE WAY, KNOXVILLE, TN 37934-4556
(865) 250-6461
(865) 966-8504
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0000123743
TN
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
APN0000007907
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3631311
—
TN
Enumeration date
11/02/2006
Last updated
11/10/2015
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