LISSA EDMOND APN-C NPI 1740642503

NPI Information

NPI: 1740642503
Provider Name: LISSA EDMOND, APN-C
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: CATHOLIC CHARITIES, DIOCESE OF METUCHEN

PECOS Registration: Yes

Address:
20 SCOTCH RD
EWING, NJ
ZIP 08628
Phone: (973) 358-5558
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Lissa Edmond, APN-C is a psychiatric/mental health nurse practitioner in Ewing, NJ with 8 years of experience. Lissa Edmond, APN-C NPI is 1740642503. 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:

20 SCOTCH RD
EWING, NJ
ZIP 08628-529
Phone: (973) 358-5558

The NPI 1740642503 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/22/2016 and was last updated on 8/6/2021.

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
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	401979	NEW YORK	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	26NJ00627000	NEW JERSEY	Yes

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: 11/14/2023

NPI Synchronization or Removal

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