Individual
LISA D FLETCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN FNP
Contact information
Practice address
1208 EDWARDS ST, UNION CITY, TN 38261-5320
(731) 884-8800
(731) 884-0240
Mailing address
1208 EDWARDS ST, UNION CITY, TN 38261-5320
(731) 884-8800
(731) 884-0240
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN 000007414
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4094019
BC
—
Enumeration date
08/11/2005
Last updated
01/25/2010
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