LISA NELSON DNP - NPI 1174097810 - Nurse Practitioner in Lees Summit, MO

Q: What is Lisa Nelson's NPI number?

The NPI number for Lisa Nelson is 1174097810. It was assigned to this individual provider in the NPPES registry on January 16, 2019.

Q: What is Lisa Nelson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Nelson was last updated on December 31, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Lisa Nelson Dnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA NELSON DNP (NPI 1174097810) is an individual family provider in Lees Summit, Missouri, licensed in Missouri (2012017308) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1174097810

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLISA NELSONCredential: DNP

Location Address20 NE SAINT LUKES BLVD STE 350Lees Summit, MO 64086-6007

Mailing Address20 Ne Saint Lukes Blvd Ste 350Lees Summit, MO 64086-6007 · (816) 347-5600 · Fax (816) 347-5674

Phone(816) 347-5600

Fax(816) 347-5674

Sole ProprietorNo

Enumeration DateJanuary 16, 2019

Last NPPES UpdateDecember 31, 20192 updates tracked since enumeration

✔ NPI 1174097810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in MO · 2012017308✔ Licensed in KS · 14-125543031

20 NE SAINT LUKES BLVD STE 350, Lees Summit, MO 64086

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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LESLIE POLLARD FNP-BC

Nurse Practitioner (Family)