Individual provider · NPI-1

Lisa Abbott, NP

Nurse Practitioner, Family · Marietta, GA

NPI number1982217402
StatusActive
Last updated in NPPESFeb 18, 2023

Details

NPI
1982217402
Entity type
Individual (NPI-1)
Name
Lisa Abbott
Credential
NP
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 25, 2020
Certification date
Feb 18, 2023
Last updated
Feb 18, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyRN237986GAYes

Practice location

3747 Roswell Rd
Marietta, GA 30062-6215

Phone 470-956-0150

Mailing address

3747 Roswell Rd
Marietta, GA 30062-6215

Phone 470-956-0150

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nurse Practitioner, Family providers in Marietta, GA