Individual
LISNET JORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ARNP, FNP-BC
Contact information
Practice address
5422 S 12TH AVE STE B, TUCSON, AZ 85706-3297
(520) 900-3667
(520) 337-3343
Mailing address
PO BOX 43100, TUCSON, AZ 85733-3100
(520) 900-3667
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP10602
AZ
Other
Enumeration date
07/29/2017
Last updated
09/07/2021
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