LISA JANG RN, BSN, MSN
NPI 1811488091
Nurse Practitioner - Pediatrics in Philadelphia, PA

Active since May 23, 2018
3400 CIVIC CENTER BLVD DEPT GENERAL, PHILADELPHIA, PA 19104(215) 509-1000 Get Directions Write a Review

NPPES record last updated: May 23, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Jang Rn, Bsn, Msn NPPES

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

LISA JANG RN, BSN, MSN (NPI 1811488091) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP018813) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1811488091
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameLISA JANGCredential: RN, BSN, MSN
Location Address3400 CIVIC CENTER BLVD DEPT GENERALPhiladelphia, PA 19104-5127
Mailing Address7 Barleycorn DrBroomall, PA 19008-4428 · (610) 613-1250
Sole ProprietorNo
Enumeration DateMay 23, 2018
NPI 1811488091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in PA · SP018813
3400 CIVIC CENTER BLVD DEPT GENERAL, Philadelphia, PA 19104

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 Jang's NPI number?

The NPI number for Lisa Jang is 1811488091. It was assigned to this individual provider in the NPPES registry on May 23, 2018.

Where is Lisa Jang located?

Lisa Jang practices at 3400 Civic Center Blvd Dept General, Philadelphia, PA 19104. The listed phone number is (215) 509-1000.

What is Lisa Jang's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Lisa Jang was last updated on May 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.