Individual provider · Type 1 NPI

Jinna Lisenbe, ANP

Adult Health Nurse Practitioner · Rolla, MO

NPI number 1245658335 Active

Practice location

1060 W 10th St
Rolla, MO 65401-2905

Fax (573) 458-8363

Mailing address

1050 W 10th St, Attn: Executive Director Of Physician Clinics
Rolla, MO 65401-2905

Other practice locations

  • 1000 W 10th St, Rolla, MO 65401-2905 · (573) 458-8899
  • 1000 W 10th St, Rolla, MO 65401-2905 · (573) 364-9000

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X2014004531 (MO)

Adult Health Nurse Practitioner: Definition to come...

16 other providers at this address

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About NPI 1245658335

Jinna Lisenbe, ANP's National Provider Identifier is 1245658335, issued on Apr 4, 2014. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Rolla, MO. The record was last updated on Sep 11, 2025.