Individual provider · Type 1 NPI

Tenesha R. Lisbon, NP

Family Nurse Practitioner · Providence, RI

NPI number 1356779458 Active

Practice location

355 Prairie Ave
Providence, RI 02905

Fax (401) 444-0427

Mailing address

375 Allens Ave
Providence, RI 02905-5010

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner 363LP2300XRN2275245 (MA)
Family Nurse Practitioner Primary 363LF0000XAPRN01828 (RI)

Family Nurse Practitioner: Definition to come...

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About NPI 1356779458

Tenesha R. Lisbon, NP's National Provider Identifier is 1356779458, issued on Oct 29, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Providence, RI. The record was last updated on Apr 15, 2021.