Individual
MS. LISA A RUDISILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN FNP C
Contact information
Practice address
1771 TATE BLVD SE, SUITE 103, HICKORY, NC 28602-4249
(828) 322-1128
(828) 327-9431
Mailing address
1771 TATE BLVD SE, SUITE 103, HICKORY, NC 28602-4249
(828) 322-1128
(828) 327-9431
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
092475
NC
363LF0000X
Family Nurse Practitioner
Primary
201668
NC
Other
Enumeration date
05/17/2006
Last updated
08/21/2013
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