Individual provider · Type 1 NPI
Lisa Jo Straight, RNCS-FNP
General Practice Physician · Ponte Vedra, FL
NPI number
1740449214
Active
Practice location
10430 Ray Rd
Ponte Vedra, FL 32081-8813
Fax (904) 824-9983
Mailing address
PO Box 5
Winooski, VT 05404-0005
Other practice locations
- 3740 International Golf Pkwy, St. Augustine, FL 32092-0665 · (904) 671-8333
- 580 State Road 206 W, St. Augustine, FL 32086-7968 · (904) 671-8337
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 11038807 (FL) |
| Family Nurse Practitioner | 363LF0000X | 036970 (WV) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
2 other providers at this address
Other general practice physician providers in Ponte Vedra
About NPI 1740449214
Lisa Jo Straight, RNCS-FNP's National Provider Identifier is 1740449214, issued on Jun 9, 2008. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Ponte Vedra, FL. The record was last updated on Jan 6, 2026.