MS. LISSA WEST FNP
NPI 1003055955
Registered Nurse - Pediatrics in Tallahassee, FL
Active since February 17, 2009
3606 MACLAY BLVD STE 102, TALLAHASSEE, FL 32312(805) 877-1162(850) 671-5009 Get Directions Write a Review
About Ms. Lissa West Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. LISSA WEST FNP (NPI 1003055955) is an individual pediatrics provider in Tallahassee, Florida, licensed in Tennessee (07609) and active in the NPI registry since February 2009.
NPPES Registry Identity
NPI1003055955
Entity TypeIndividualFemale
Primary Taxonomy163WP0200X
Provider Legal NameMS. LISSA WESTCredential: FNP
Location Address3606 MACLAY BLVD STE 102Tallahassee, FL 32312
Mailing Address3606 Maclay Blvd Ste 102Tallahassee, FL 32312 · (805) 877-1162 · Fax (850) 671-5009
Phone(805) 877-1162
Fax(850) 671-5009
Sole ProprietorYes
Enumeration DateFebruary 17, 2009
Last NPPES UpdateSeptember 21, 2018
✔ NPI 1003055955 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyRegistered Nurse · PediatricsNursing Service Providers
Taxonomy Code163WP0200X
Licenses✔ Licensed in TN · 07609✔ Licensed in TN · 115113 R.N.
Also ListedClinical Nurse Specialist · PediatricsTaxonomy 364SP0200X · License 7609 A.P.N. (TN)
3606 MACLAY BLVD STE 102, Tallahassee, FL 32312
Other Names 1
Other Name (5)Elizabeth Alice West R.n.
Other Identifiers 1
Medicaid5440116TN
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003055955, enumerated as an "individual" on February 17, 2009.
The provider is located at 3606 MACLAY BLVD STE 102 TALLAHASSEE, FL 32312 and the phone number is (805) 877-1162.
Registered Nurse with taxonomy code 163WP0200X and a focus in Pediatrics.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
