LISHA INEZ WAGNER RN - NPI 1306035209 - Registered Nurse in Morristown, TN

Q: What is Lisha Wagner's NPI number?

The NPI number for Lisha Wagner is 1306035209. It was assigned to this individual provider in the NPPES registry on October 17, 2007. The provider is also known as Lisha Inez Mccrary.

Q: What is Lisha Wagner's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

Q: When was this NPI record last updated?

The NPPES record for Lisha Wagner was last updated on October 17, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Lisha Inez Wagner Rn NPPES

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

LISHA INEZ WAGNER RN (NPI 1306035209) is an individual psychiatric/mental health provider in Morristown, Tennessee, licensed in Tennessee (RN100615) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1306035209

Entity TypeIndividualFemale

Primary Taxonomy163WP0808X

Provider Legal NameLISHA INEZ WAGNERCredential: RN

Location Address815 WEST FIFTH NORTH STREETMorristown, TN 37814

Mailing AddressDepartment 888182Knoxville, TN 37995-8182 · (800) 355-3565 · Fax (423) 714-2355

Phone(423) 586-5032

Fax(423) 581-8473

Sole ProprietorNo

Enumeration DateOctober 17, 2007

✔ NPI 1306035209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers

Taxonomy Code163WP0808X

License✔ Licensed in TN · RN100615

815 WEST FIFTH NORTH STREET, Morristown, TN 37814

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Other Names 1

Former Name (1)Lisha Inez Mccrary

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.

AMY MICHELLE FORD

Case Manager/Care Coordinator