Individual provider · Type 1 NPI

Lisa Marie Rose-Cantrell, FNP

Family Nurse Practitioner · Lithonia, GA

NPI number 1114053345 Active

Practice location

5440 Hillandale Drive, Kaiser Permanente Panola Medical Center
Lithonia, GA 30058

Fax (770) 938-1759

Mailing address

3495 Piedmont Road, NE, Nine Piedmont Center
Atlanta, GA 30305

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN190406NP (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1114053345

Lisa Marie Rose-Cantrell, FNP's National Provider Identifier is 1114053345, issued on Feb 23, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lithonia, GA. The record was last updated on Feb 9, 2022.