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NPI Code Detail

MEDICARE: LISA LYN RIPLEY APRN

MEDICARE:   LISA LYN RIPLEY  APRN
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
1363LG0600XGerontology Nurse PractitionerAPRN11029789FL

General Provider Information

NPI Number : 1750157244
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA LYN RIPLEY APRN
Provider Business Mailing Address
First Line : 7064 MARINER BLVD
Second Line :
City : SPRING HILL
State : FL
Zip : 34609-1000
Country : US
Telephone Number : 352-597-5557
Fax Number :
Provider Business Practice Location Address
First Line : 7064 MARINER BLVD
Second Line :
City : SPRING HILL
State : FL
Zip : 34609-1000
Country : US
Telephone Number : 352-597-5557
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2023
Last Update Date : 04/23/2026

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