Individual provider · Type 1 NPI

Lisa Dunivan King, NP

Family Nurse Practitioner · Jackson, TN

NPI number 1407520786 Active

Practice location

1605 S Highland Ave
Jackson, TN 38301-7718

Call (731) 424-9741 Map

Fax (731) 427-5241

Mailing address

375 Peddy Vestal Loop
Henderson, TN 38340-3492

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X28972 (TN)

Family Nurse Practitioner: Definition to come...

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About NPI 1407520786

Lisa Dunivan King, NP's National Provider Identifier is 1407520786, issued on Aug 2, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jackson, TN. The record was last updated on Aug 2, 2021.