Healthcare Provider Details

I. General information

NPI: 1912050394
Provider Name (Legal Business Name): LISA MARIE PRESSNELL MSN-APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 11/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 WOODSPRINGS RD
JONESBORO AR
72401-0936
US

IV. Provider business mailing address

1424 REDBUD CIR
JONESBORO AR
72401-5735
US

V. Phone/Fax

Practice location:
  • Phone: 870-268-6962
  • Fax: 870-268-1028
Mailing address:
  • Phone: 870-273-4446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA01849
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberA01849
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: