MRS. LISA KAREN FANNON FNP-C
NPI 1336914316
Nurse Practitioner - Family in Abingdon, VA

Active since November 20, 2023
16507 OLD TIMBER RD, ABINGDON, VA 24210(276) 698-4325 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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 Abingdon, Virginia, 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 Address16507 OLD TIMBER RDAbingdon, VA 24210-8478
Mailing Address16507 Old Timber RdAbingdon, VA 24210-8478 · (276) 698-4325
Sole ProprietorNo
Enumeration DateNovember 20, 2023
NPPES CertifiedNovember 13, 2022
NPI 1336914316 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
License Licensed in VA · 0024186481
16507 OLD TIMBER RD, Abingdon, VA 24210

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 16507 Old Timber Rd, Abingdon, VA 24210. 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 November 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.