Individual provider · Type 1 NPI

Ernest Eugene Lissy, FNP

Family Nurse Practitioner · Stayton, OR

NPI number 1013998475 Active

Practice location

1375 N 10th Ave
Stayton, OR 97383-2099

Fax (503) 769-3797

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X200450135NP FNP-PP (OR)

Family Nurse Practitioner: Definition to come...

10 other providers at this address

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About NPI 1013998475

Ernest Eugene Lissy, FNP's National Provider Identifier is 1013998475, issued on Nov 10, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Stayton, OR. The record was last updated on Jan 5, 2012.