Individual provider · Type 1 NPI

Lissa West, FNP

Pediatric Registered Nurse · Tallahassee, FL

NPI number 1003055955 Active

Practice location

3606 Maclay Blvd Ste 102
Tallahassee, FL 32312

Fax (850) 671-5009

Specialties and licenses

TaxonomyCodeLicense
Pediatric Registered Nurse 163WP0200X115113 R.N. (TN)
Pediatric Clinical Nurse Specialist 364SP0200X7609 A.P.N. (TN)
Pediatric Registered Nurse Primary 163WP0200X07609 (TN)

Pediatric Registered Nurse: Definition to come...

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About NPI 1003055955

Lissa West, FNP's National Provider Identifier is 1003055955, issued on Feb 17, 2009. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Tallahassee, FL. The record was last updated on Sep 21, 2018.