Individual provider · Type 1 NPI

Lisa Marie Koumoulos, APN

Adult Health Nurse Practitioner · Hackensack, NJ

NPI number 1700482866 Active

Practice location

92 Summit Ave
Hackensack, NJ 07601-1263

Mailing address

331 Newman Springs Rd, Bldg 2, Ste 220
Red Bank, NJ 07701-5688

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X26NJ01081600 (NJ)

Adult Health Nurse Practitioner: Definition to come...

33 other providers at this address

Other adult health nurse practitioner providers in Hackensack

See all in Hackensack →

About NPI 1700482866

Lisa Marie Koumoulos, APN's National Provider Identifier is 1700482866, issued on Dec 4, 2020. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Hackensack, NJ. The record was last updated on Jul 27, 2026.