Individual
LISA JO ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
831 W MORGAN ST, RALEIGH, NC 27603-1613
(919) 817-3851
Mailing address
46 CAROLINA LANDING DR, ZEBULON, NC 27597-5529
(919) 817-3851
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
242229
NC
Other
Enumeration date
01/16/2020
Last updated
11/14/2024
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