Tennyson, Lisa L

Tennyson, Lisa L is an individual health care provider with primary practice located at 4803 Boardwalk Dr Ste 120 , Fort Collins CO 80525-3798. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Tennyson, Lisa L can be contacted via phone (970) 310-3406.

Contact Information

Primary practice address
4803 Boardwalk Dr Ste 120 Fort Collins CO 80525-3798
Phone: (970) 310-3406
Fax: (888) 965-4615
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5156 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X C-APN.0003731-C-NP Colorado
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X C-RXN.0001927-C-NP Colorado

Profile Details

NPI number 1871562603
LBN Legal business name Tennyson, Lisa L
Credentials FNP-BC, PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Nov 17th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871562603 NPPES
Wisconsin Other 38220400 PROVIDER NUMBER

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