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General NPI Number Information
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NPI Number | 1174906028
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Entity Type | Individual
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Provider Name | LISA MERRITT DNP, APN, PMHNP, NE
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Gender | Female
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Dates
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Enumeration Date | 07/09/2015
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 39 N CLINTON AVE BLDG 1
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City | TRENTON
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State | NJ
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Zip | 08609-1011
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Country | US
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Telephone | 609-396-4557
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Fax |
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Provider Business Mailing Address
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Address Line | 39 N CLINTON AVE
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City | TRENTON
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State | NJ
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Zip | 08609-1011
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Country | US
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Telephone | 609-396-4557
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP035144
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 26NJ15048700
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APN.30179RX
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 27NR17056100
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License Number State | NJ
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