Individual provider · Type 1 NPI

Lisa Devall

Nurse Practitioner · St. Charles, MO

NPI number 1699649665 Active

Practice location

1475 Kisker Rd Ste 200
St. Charles, MO 63304-8788

Call (636) 498-5850 Map

Mailing address

700 Candlelight Ln # 63132
Olivette, MO 63132-3603

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	2025033729 (MO)

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 1699649665

Lisa Devall's National Provider Identifier is 1699649665, issued on Oct 2, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Charles, MO. The record was last updated on Jun 30, 2026.