Wynn, Lisa Ann

Wynn, Lisa Ann is an individual health care provider with primary practice located at 41718 W Morgan Ave Ste 101 , Pennington Gap VA 24277-3224. She recently has 2 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 / Family is her primary health care specialty. Wynn, Lisa Ann can be contacted via phone (276) 231-9228.

Contact Information

Primary practice address
41718 W Morgan Ave Ste 101 Pennington Gap VA 24277-3224
Phone: (276) 231-9228
Fax: (877) 770-7177
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3010956 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024184082 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024184082 Virginia

Profile Details

NPI number 1295065688
LBN Legal business name Wynn, Lisa Ann
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2010
Last updated Mar 17th, 2025 - about last year

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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