Individual provider · Type 1 NPI
Jennifer Anne Lisa, PMHNP-BC
Nurse Practitioner · Dundalk, MD
Practice location
1576 Merritt Blvd Ste 8
Dundalk, MD 21222-2114
Other practice locations
- 920 Providence Rd Ste 101, Towson, MD 21286-2979 · (667) 400-3679
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | R178139 (MD) |
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 1245014869
Jennifer Anne Lisa, PMHNP-BC's National Provider Identifier is 1245014869, issued on Aug 23, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Dundalk, MD. The record was last updated on Sep 29, 2025.