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MS. LISA HUDSON HERRON ARNP

>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1538552328

Individual Registrant:
MS. LISA HUDSON HERRON ARNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
14070 W PARSLEY DR  MADEIRA BEACH, FL 33708-2351 US
Tel: 615-584-0537  Fax: --

Contact information for business:
14070 W PARSLEY DR  MADEIRA BEACH, FL 33708-2351 US
Tel: 615-584-0537  Fax: --

Registration Information:
NPI: 1538552328
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
TNAPN 0000019388
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
FLARNP 9396248

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
FLORIDA STATE LICENSEARNP 9396248FL01




HEALTH CARE JOBS FL - Page 1



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