Healthcare Provider Details

I. General information

NPI: 1801747589
Provider Name (Legal Business Name): LISA MICHELLE BOCKS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 MISSION RANCH BLVD STE 10
CHICO CA
95926-5137
US

IV. Provider business mailing address

114 MISSION RANCH BLVD STE 10
CHICO CA
95926-5137
US

V. Phone/Fax

Practice location:
  • Phone: 530-894-0500
  • Fax:
Mailing address:
  • Phone: 530-894-0500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number95040358
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: