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Lisa Mangum, FNP

Nurse Practitioner, Family in Morganton, NC. Individual provider (NPI-1).

NPI number1124569736
StatusActive
Last updated in NPPESJun 2, 2020

Details

NPI
1124569736
Entity type
Individual (NPI-1)
Name
Lisa Mangum
Credential
FNP
Sex
Female
Sole proprietor
No
Enumeration date
Mar 15, 2017
Certification date
Jun 2, 2020
Last updated
Jun 2, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family5009365NCYes

Practice location

117 Foothills Dr
Morganton, NC 28655-5152

Phone 828-580-5705 · Fax 828-580-8033

Mailing address

117 Foothills Dr
Morganton, NC 28655-5152

Phone 828-580-5705 · Fax 828-580-8033

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Other Family Nurse Practitioner providers in Morganton, NC

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