Individual provider · Type 1 NPI
Lisa Spears
Psychiatric/Mental Health Nurse Practitioner · Fort Wayne, IN
NPI number
1821822511
Active
Practice location
6326 Constitution Dr
Fort Wayne, IN 46804-1518
Mailing address
429 E Dupont Rd # 1103
Fort Wayne, IN 46825-2051
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 28248812C (IN) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 71015758A (IN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1821822511
Lisa Spears's National Provider Identifier is 1821822511, issued on Aug 27, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fort Wayne, IN. The record was last updated on Sep 16, 2024.