Mrs. Lisa Joi Oetjen
Nurse Practitioner - Family Medicine
4787 Alben Barkley Dr
Paducah
, Kentucky 42001-6789
Mrs. Lisa Joi Oetjen
Nurse Practitioner - Family Medicine
4787 Alben Barkley Dr
Paducah
, Kentucky 42001-6789
(618) 997-1187
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Mrs. Lisa Joi Oetjen
- 510 Lincoln Dr
- Herrin, IL
- Zip : 62948-6334
- Fax : (618) 997-1187
- Phone : (618) 997-6800
Second Address
- Mrs. Lisa Joi Oetjen
- 4787 Alben Barkley Dr
- Paducah, KY
- Zip : 42001-6789
- Fax : (270) 441-0079
- Phone : (270) 442-9461
Reviews
FAQs
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Is Mrs. Lisa Joi Oetjen a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 3007393 | KY |
National Provider Identifier
| NPI | 1003181132 |
|---|---|
| Provider Name | Mrs. Lisa Joi Oetjen |
| First Address | Herrin, IL 62948-6334 |
| Second Address | Paducah, KY 42001-6789 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/03/2012 |
| Last Update Date | 14/03/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000811812 | ANTHEM (01) | KY |
| 7100238100 | (05) | KY |
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.