Dejesus, Lisa Marie

Dejesus, Lisa Marie is an sole proprietor health care provider with primary practice located at 301 State Ave , Tiverton RI 02878-1062. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Dejesus, Lisa Marie can be contacted via phone (774) 300-3444.

Contact Information

Primary practice address
301 State Ave Tiverton RI 02878-1062
Phone: (774) 300-3444
Fax: (774) 307-9039
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RNRN2272709 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN02508 Rhode Island

Profile Details

NPI number 1700410628
LBN Legal business name Dejesus, Lisa Marie
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 29th, 2020
Last updated Oct 12th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers