Individual provider · Type 1 NPI

Lisa Jennifer King, CRNP

Nurse Practitioner · Mansfield, OH

NPI number 1104155605 Active

Practice location

70 Madison Rd
Mansfield, OH 44905-2831

Call (419) 589-9700 Map

Fax (419) 589-2731

Mailing address

1025 S Trimble Rd
Mansfield, OH 44906-3427

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	COA.11067-NP (OH)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1104155605

Lisa Jennifer King, CRNP's National Provider Identifier is 1104155605, issued on Dec 11, 2009. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mansfield, OH. The record was last updated on Mar 8, 2016.