Individual provider · Type 1 NPI

Jessica M. Lisk, AG-ACNP

Acute Care Nurse Practitioner · Charlottesville, VA

NPI number 1144008046 Active

Practice location

1204 W Main St
Charlottesville, VA 22903-2824

Call (434) 924-9119 Map

Mailing address

PO Box 749112
Atlanta, GA 30374-9112

Other practice locations

  • 1215 Lee St, Charlottesville, VA 22908-0816 · (434) 243-1000

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician 207RC0000X0024188126 (VA)
Pediatric Cardiology Physician 2080P0202X0024188126 (VA)
Acute Care Nurse Practitioner Primary 363LA2100X0024188126 (VA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1144008046

Jessica M. Lisk, AG-ACNP's National Provider Identifier is 1144008046, issued on Sep 20, 2023. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Charlottesville, VA. The record was last updated on Jun 26, 2025.