Roseberry, Lisa
Roseberry, Lisa is an individual health care provider with primary practice located at 4905 Courtney Dr , Forest Park GA 30297-1427. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Roseberry, Lisa can be contacted via phone (404) 366-3636.Contact Information
Primary practice address
4905 Courtney Dr
Forest Park GA 30297-1427
Phone: (404) 366-3636
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN075080 | Georgia |
Profile Details
| NPI number | 1871969469 |
|---|---|
| LBN Legal business name | Roseberry, Lisa |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2015 |
| Last updated | Apr 5th, 2016 - about 10 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.
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