Lissa M Jean-Pierre, MD
General Practice in St Pete Beach, FL. Individual provider (NPI-1).
NPI number1720077019
StatusActive
Last updated in NPPESNov 9, 2026
Details
- NPI
- 1720077019
- Entity type
- Individual (NPI-1)
- Name
- Lissa M Jean-Pierre
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 19, 2005
- Certification date
- Nov 9, 2026
- Last updated
- Nov 9, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - GENERAL PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | ME85417 | FL | Yes |
Practice location
247 Corey Ave Ste 247St Pete Beach, FL 33706-1818
Phone 727-647-6422
Mailing address
247 Corey Ave Ste 247St Pete Beach, FL 33706-1818
Phone 727-647-6422
Other practice locations
280 Patterson Rd Ste 3
Haines City, FL 33844-6261
Haines City, FL 33844-6261
Phone 877-287-2520 · Fax 833-974-2344
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Other General Practice Physician providers in St Pete Beach, FL
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