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Lisa Jewel Alexander Nwokolo, FNP

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

NPI number1164767133
StatusActive
Last updated in NPPESFeb 11, 2013

Details

NPI
1164767133
Entity type
Individual (NPI-1)
Name
Mrs. Lisa Jewel Alexander Nwokolo
Credential
FNP
Sex
Female
Sole proprietor
No
Enumeration date
Dec 3, 2012
Last updated
Feb 11, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyAPN0000017088TNYes

Practice location

700 W Forest Ave
Ste 300
Jackson, TN 38301-3937

Phone 731-422-0330 · Fax 731-422-0471

Mailing address

Po Box 400
Jackson, TN 38302-0400

Phone 731-423-8697 · Fax 731-422-5743

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