Wood, Lisa C

Wood, Lisa C is an sole proprietor health care provider with primary practice located at 1335 Rock Springs Rd Suite 100, Smyrna TN 37167-6108. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Wood, Lisa C can be contacted via phone (615) 459-5252.

Contact Information

Primary practice address
1335 Rock Springs Rd Suite 100 Smyrna TN 37167-6108
Fax: (615) 459-5232
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN5972 Tennessee

Profile Details

NPI number 1104023035
LBN Legal business name Wood, Lisa C
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2007
Last updated Feb 23rd, 2017 - about 9 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 1104023035 NPPES
Tennessee MEDICAID 5441736

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