Wheeler, Lisa A

Wheeler, Lisa A is an individual health care provider with primary practice located at 315 N Washington Ave Ste 190, Cookeville TN 38501-5984. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Wheeler, Lisa A can be contacted via phone (931) 528-3300.

Contact Information

Primary practice address
315 N Washington Ave Ste 190 Cookeville TN 38501-5984
Phone: (931) 528-3300
Fax: (313) 722-1029
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN79264 Tennessee

Profile Details

NPI number 1922232131
LBN Legal business name Wheeler, Lisa A
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2009
Last updated Aug 7th, 2020 - about 6 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

Identifiers

StateTypeNumberIssuer
All States NPI 1922232131 NPPES
Tennessee MEDICAID 1517710
Tennessee MEDICAID 1512648
Tennessee MEDICAID 3001286

Popular Providers