LISA KEBALO-WALKER APN NPI 1689201337

NPI Information

  • NPI: 1689201337
  • Provider Name: LISA KEBALO-WALKER, APN
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • Address: 151 KNOLLCROFT RD
    LYONS, NJ
    ZIP 07939
  • Phone: (732) 259-6671

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NPI Details

Lisa Kebalo-walker, APN is a primary care nurse practitioner in Lyons, NJ. Lisa Kebalo-walker, APN NPI is 1689201337. 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:

151 KNOLLCROFT RD
LYONS, NJ
ZIP 07939-001
Phone: (732) 259-6671

The enumeration date for this NPI number is 3/24/2020 and was last updated on 11/28/2022.

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
1163WX1500XRegistered NurseOstomy Care26NR11264700NEW JERSEYNo
2261QV0200XClinic/CenterVA26NJ01018400NEW JERSEYNo
3363LP2300XNurse PractitionerPrimary Care26NJ01018400NEW JERSEYYes
4163WW0000XRegistered NurseWound Care26NR11264700NEW JERSEYNo
5163WC2100XRegistered NurseContinence Care26NR11264700NEW JERSEYNo

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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