Individual provider · Type 1 NPI

Lise Mirline Dommercant, APN

Primary Care Nurse Practitioner · Union, NJ

NPI number 1720933716 Active

Practice location

1553 Day Ter
Union, NJ 07083-4719

Call (908) 209-7910 Map

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X26BJ15533800 (NJ)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1720933716

Lise Mirline Dommercant, APN's National Provider Identifier is 1720933716, issued on Mar 4, 2026. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Union, NJ. The record was last updated on Mar 4, 2026.