Lisa Ann Tiebauer in Jacksonville - Psychiatric/mental Health
Lisa Ann Tiebauer - NPI 1700069044
Lisa Ann Tiebauer is a Psychiatric/mental Health in Jacksonville, North Carolina. Lisa Ann Tiebauer practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Lisa Ann Tiebauer is 1700069044. The last update date is 2023-03-07.
Lisa Ann Tiebauer's current location address is 200 Tarpon Trl, Jacksonville, North Carolina. You can contact this provider via phone number 9109381114 and fax number 9109381118. The mailing address for Lisa Ann Tiebauer is 200 Tarpon Trl, Jacksonville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Ann Tiebauer |
|---|---|
| Address | 200 Tarpon Trl, Jacksonville, North Carolina |
| Phone Number | 9109381114 |
| Fax Number | 9109381118 |
| Sole Proprietor | N |
| Credentials | PMHNP-BC |
NPI Number Detail
| NPI Number | 1700069044 |
|---|---|
| Provider Enumeration Date | 2007-12-10 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 200 Tarpon Trl |
|---|---|
| City | Jacksonville |
| State | North Carolina (NC) |
| Post Code | 285465287 |
| Phone Number | 9109381114 |
| Fax Number | 9109381118 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health |
|---|---|
| Taxonomy | 363Lp0808X |
| Licence No | 5005198 |
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Definition: An advanced practice registered nurse expert in providing psychiatric and mental healthcare services. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Lisa Ann Tiebauer by the Centers for Medicare & Medicaid Services?
The Lisa Ann Tiebauer has been issued the NPI (National Provider Identifier) 1700069044 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Lisa Ann Tiebauer's facilities are situated?
The facilities of Lisa Ann Tiebauer are physically located at the following address: 200 Tarpon Trl, Jacksonville, NC, 285465287.
What is Lisa Ann Tiebauer's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lisa Ann Tiebauer is Psychiatric/mental Health, and the taxonomy classification code that categorizes this area of expertise is 363Lp0808X.
On what date did the Centers for Medicare & Medicaid Services issue the 1700069044 to Lisa Ann Tiebauer?
The Lisa Ann Tiebauer received its 1700069044 assignment from the Centers for Medicare & Medicaid Services on 2007-12-10.
When was the information pertaining to Lisa Ann Tiebauer most recently updated or revised?
The details related to Lisa Ann Tiebauer, including its address, specialty, and other relevant information, were last updated or revised on 2023-03-07.