MEDICARE: DR. LISA J DYER DNP, APRN, FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN0000067203	TN
2	163W00000X	Registered Nurse	13930	TN

General Provider Information

NPI Number	:	1649419466
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LISA J DYER DNP, APRN, FNP-BC

Provider Business Mailing Address
First Line	:	77 STONEBRIDGE BLVD
Second Line	:
City	:	JACKSON
State	:	TN
Zip	:	38305-2165
Country	:	US
Telephone Number	:	731-780-1986
Fax Number	:	731-984-9939

Provider Business Practice Location Address
First Line	:	77 STONEBRIDGE BLVD
Second Line	:
City	:	JACKSON
State	:	TN
Zip	:	38305-2165
Country	:	US
Telephone Number	:	731-780-1986
Fax Number	:	731-984-9939

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/18/2009
Last Update Date	:	08/05/2014

Similar Medicare Providers

1326973421 — BRITTON MARIE STOCKDALE LMSW
Practice Location Address:

77 STONEBRIDGE BLVD STE B
JACKSON, TN
38305-2165

Practice Phone: 731-207-0560
Practice Fax:

1174872139 — METHODIST LE BONHEUR COMMUNITY OUTREACH
Practice Location Address:

77 STONEBRIDGE BLVD
JACKSON, TN
38305-2165

Practice Phone: 901-287-5961
Practice Fax:

1740138809 — SARAH ROBBINS LMSW
Practice Location Address:

77 STONEBRIDGE BLVD
JACKSON, TN
38305-2165

Practice Phone: 731-207-0560
Practice Fax: 731-214-1816

1053246827 — ISAIAS LEON DDS
Practice Location Address:

80 EXETER RD
JACKSON, TN
38305-1829

Practice Phone: 731-300-3000
Practice Fax:

1134866916 — DR. HANNAH RUSSELL JOHNS MD
Practice Location Address:

1320 UNION UNIVERSITY DR
JACKSON, TN
38305-3780

Practice Phone: 731-422-7999
Practice Fax:

1255266698 — HANNAH L CROSSETT LPC
Practice Location Address:

24 REFLECTION CV
JACKSON, TN
38305-5732

Practice Phone: 731-234-6711
Practice Fax:

Directions to “ DR. LISA J DYER DNP, APRN, FNP-BC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.