Individual provider · Type 1 NPI
Lisa Marie Ketchem, FNP-C
Family Nurse Practitioner · Kingsport, TN
NPI number
1871058263
Active
Practice location
5039 Andrew St
Kingsport, TN 37660-6500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024184785 (VA) |
| Family Nurse Practitioner Primary | 363LF0000X | 25202 (TN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1871058263
Lisa Marie Ketchem, FNP-C's National Provider Identifier is 1871058263, issued on Feb 10, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kingsport, TN. The record was last updated on Oct 18, 2022.