Individual provider · Type 1 NPI

Kelly Lissenden, AGNP-C

Nurse Practitioner · Bethlehem, PA

NPI number 1386594471 Active

Practice location

3933 Freemansburg Ave
Bethlehem, PA 18020-4567

Call (610) 419-9191 Map

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XSP035126 (PA)

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 1386594471

Kelly Lissenden, AGNP-C's National Provider Identifier is 1386594471, issued on Jan 29, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bethlehem, PA. The record was last updated on Jan 29, 2026.