Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. LISA KAREN FANNON FNP-C
NPI 1336914316
Nurse Practitioner - Family in Bradenton, FL

Q: What is Lisa Fannon's NPI number?

The NPI number for Lisa Fannon is 1336914316. It was assigned to this individual provider in the NPPES registry on November 20, 2023.

Q: What is Lisa Fannon'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 Fannon was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 20, 2023

6708 64TH PL E, BRADENTON, FL 34203(276) 698-4325 Get Directions Write a Review

NPPES record last updated: October 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 9, 2026, Nov 20, 2023 (2 updates tracked since 2023).

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About Mrs. Lisa Karen Fannon Fnp-c NPPES

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

MRS. LISA KAREN FANNON FNP-C (NPI 1336914316) is an individual family provider in Bradenton, Florida, licensed in Virginia (0024186481) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1336914316

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. LISA KAREN FANNONCredential: FNP-C

Location Address6708 64TH PL EBradenton, FL 34203-8044

Mailing Address6708 64th Pl EBradenton, FL 34203-8044 · (276) 698-4325

Phone(276) 698-4325

Sole ProprietorNo

Enumeration DateNovember 20, 2023

Last NPPES UpdateOctober 9, 20262 updates tracked since enumeration

NPPES CertifiedOctober 9, 2026

✔ NPI 1336914316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in VA · 0024186481

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License APRN11041852 (FL)

6708 64TH PL E, Bradenton, FL 34203

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Fannon's NPI number?

The NPI number for Lisa Fannon is 1336914316. It was assigned to this individual provider in the NPPES registry on November 20, 2023.

Where is Lisa Fannon located?

Lisa Fannon practices at 6708 64th Pl E, Bradenton, FL 34203. The listed phone number is (276) 698-4325.

What is Lisa Fannon's specialty?

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

When was this NPI record last updated?

The NPPES record for Lisa Fannon was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.