LISA CORN FNP NPI 1154337871

NPI Information

  • NPI: 1154337871
  • Provider Name: LISA CORN, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 4525 CAMERON VALLEY PKWY
    STE 1500
    CHARLOTTE, NC
    ZIP 28211
  • Phone: (704) 512-6240

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NPI Details

Lisa Corn, FNP is a family nurse practitioner in Charlotte, NC. Lisa Corn, FNP NPI is 1154337871. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4525 CAMERON VALLEY PKWY
STE 1500
CHARLOTTE, NC
ZIP 28211-546
Phone: (704) 512-6240
Fax: (704) 512-6241

The enumeration date for this NPI number is 8/1/2006 and was last updated on 2/8/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily200907NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12599136BMEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
27004146MEDICAIDNORTH CAROLINA
32599136XMEDICARE PINNORTH CAROLINA
4S99838MEDICARE UPINNORTH CAROLINA
52599136HMEDICARE PINNORTH CAROLINA
62599136EMEDICARE PINNORTH CAROLINA
72599136JMEDICARE PINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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