Search › Tennessee › 363L00000X
Lisa Jack, APRN BC
NPI 1740210152 · on the registry since 2006
Practice
- Address
- 2076 Lascassas Pike Ste B
Murfreesboro, TN 37130 - Phone
- (615) 535-0124
- Fax
- (615) 653-4218
- Organisation at this address
- Innovation Health, Llc
Amerritrin Company PllcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-04-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee