Lisa M Ivy
Nurse Practitioner - Acute Care
7 Shackleford West Blvd
Little Rock
, Arkansas 72211-3714
Lisa M Ivy
Nurse Practitioner - Acute Care
7 Shackleford West Blvd
Little Rock
, Arkansas 72211-3714
(501) 664-0889
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About
Features
Specialties
- Nurse Practitioner - Acute Care
Languages spoken
- English
Location
First Address
- Lisa M Ivy
- 7 Shackleford West Blvd
- Little Rock, AR
- Zip : 72211-3714
- Fax : (501) 664-0889
- Phone : (501) 664-5860
Second Address
- Lisa M Ivy
- 7 Shackleford West Blvd
- Little Rock, AR
- Zip : 72211-3714
- Fax : (501) 664-0889
- Phone : (501) 664-5860
Reviews
FAQs
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What type of doctor is Lisa M Ivy
In what state does Lisa M Ivy practice in?
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What is Lisa M Ivy ’s gender?
Is Lisa M Ivy a sole practitioner?
Is Lisa M Ivy accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2100X | Nurse Practitioner - Acute Care | A01826 | AR |
National Provider Identifier
| NPI | 1033103296 |
|---|---|
| Provider Name | Lisa M Ivy |
| First Address | Little Rock, AR 72211-3714 |
| Second Address | Little Rock, AR 72211-3714 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/09/2005 |
| Last Update Date | 16/02/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| P68504 | (02) | AR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.