MRS. LISA ANN SMITH MSN, RN, AGCNS, NP-C
NPI 1396303905
Nurse Practitioner in Fort Wayne, IN

Active since May 30, 2019
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845(260) 415-6175 Get Directions Write a Review

NPPES record last updated: May 30, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Lisa Ann Smith Msn, Rn, Agcns, Np-c NPPES

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

MRS. LISA ANN SMITH MSN, RN, AGCNS, NP-C (NPI 1396303905) is an individual nurse practitioner in Fort Wayne, Indiana, licensed in Indiana (AG05180066) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1396303905
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. LISA ANN SMITHCredential: MSN, RN, AGCNS, NP-C
Location Address11109 PARKVIEW PLAZA DRFort Wayne, IN 46845-1701
Mailing Address1580 Vintners WayFort Wayne, IN 46845-8798 · (260) 415-6175
Sole ProprietorNo
Enumeration DateMay 30, 2019
NPI 1396303905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IN · AG05180066
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

11109 PARKVIEW PLAZA DR, Fort Wayne, IN 46845

Reviews for MRS. LISA ANN SMITH MSN, RN, AGCNS, NP-C

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Clinical Medical Laboratory
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Internal Medicine
11109 PARKVIEW PLAZA DR, PSP HOSPITALIST
FORT WAYNE, IN 46845
Dietitian, Registered
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Surgery (Trauma Surgery)
11109 PARKVIEW PLAZA DR, TRAUMA UNIT
FORT WAYNE, IN 46845
Pathology (Anatomic Pathology & Clinical Pathology)
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Psychologist
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Nurse Practitioner
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Family Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Radiology (Diagnostic Radiology)
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Internal Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Pathology (Anatomic Pathology & Clinical Pathology)
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Dietitian, Registered
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Specialist/Technologist (Athletic Trainer)
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Dietitian, Registered
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Nurse Practitioner
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Anesthesiology
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Emergency Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Pharmacist
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Pharmacist
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Pharmacist
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396303905, enumerated as an "individual" on May 30, 2019.

The provider is located at 11109 PARKVIEW PLAZA DR FORT WAYNE, IN 46845 and the phone number is (260) 415-6175.

Nurse Practitioner with taxonomy code 363L00000X.