Healthcare Provider Details

I. General information

NPI: 1407953953
Provider Name (Legal Business Name): LISA M COX NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LISA CAROL MCCRORY

II. Dates (important events)

Enumeration Date: 09/19/2006
Last Update Date: 06/25/2024
Certification Date: 06/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3021 BRUNSWICK RD STE 1105
BARTLETT TN
38133-4198
US

IV. Provider business mailing address

8836 BRUNSWICK FARMS DR
ARLINGTON TN
38002-4354
US

V. Phone/Fax

Practice location:
  • Phone: 901-726-3979
  • Fax:
Mailing address:
  • Phone: 901-359-7181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number6299
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPN0000006299
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberAPN000006299
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: