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Lisa D Beasley, FNP

Nurse Practitioner, Family in Germantown, TN. Individual provider (NPI-1).

NPI number1003117656
StatusActive
Last updated in NPPESNov 13, 2010

Details

NPI
1003117656
Entity type
Individual (NPI-1)
Name
Lisa D Beasley
Credential
FNP
Sex
Female
Sole proprietor
No
Enumeration date
Nov 13, 2010
Last updated
Nov 13, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyAPN0000015088TNYes

Practice location

8040 Wolf River Blvd
Suite 200
Germantown, TN 38138-1773

Phone 901-414-0017

Mailing address

8040 Wolf River Blvd
Suite 200
Germantown, TN 38138-1773

Phone 901-414-0017

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