Individual provider · Type 1 NPI

Lisa Kiernan

Nurse Practitioner · Bonaire, GA

NPI number 1992509244 Active

Practice location

119 Golden Pond Blvd
Bonaire, GA 31005-4427

Fax (478) 258-6636

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000XRN258735 (GA)
Nurse Practitioner Primary 363L00000XRN258735 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1992509244

Lisa Kiernan's National Provider Identifier is 1992509244, issued on Apr 3, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bonaire, GA. The record was last updated on May 29, 2025.