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MS. LISA HUDSON HERRON ARNP
>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1538552328
Individual Registrant:MS. LISA HUDSON HERRON ARNP
Gender: F
Not Sole Proprietor
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: --
Tel: 615-584-0537 Fax: --
Contact information for business:
14070 W PARSLEY DR MADEIRA BEACH, FL 33708-2351 US
Tel: 615-584-0537 Fax: --
Tel: 615-584-0537 Fax: --
Registration Information:
NPI: 1538552328
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | TN | APN 0000019388 |
| Y | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | FL | ARNP 9396248 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| FLORIDA STATE LICENSE | ARNP 9396248 | FL | 01 |
