Individual provider · Type 1 NPI
Lisa Ann Wynn, APRN
Family Nurse Practitioner · Pennington Gap, VA
NPI number
1295065688
Active
Practice location
41718 W Morgan Ave Ste 101
Pennington Gap, VA 24277-3224
Fax (877) 770-7177
Mailing address
334 Corinth Church Dr
Jonesville, VA 24263-7992
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 3010956 (KY) |
| Nurse Practitioner | 363L00000X | 0024184082 (VA) |
| Family Nurse Practitioner Primary | 363LF0000X | 0024184082 (VA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1295065688
Lisa Ann Wynn, APRN's National Provider Identifier is 1295065688, issued on Jan 6, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pennington Gap, VA. The record was last updated on Mar 17, 2025.