LISA DIANE FAIR

CORDOVA, TN
NPI1457077315
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: TN  32712)
Enumeration Date2022-10-12
Last Update Date2022-10-12
Business Address
MRS. LISA DIANE FAIR PMHNP-BC
8130 COUNTRY VILLAGE DR
CORDOVA, TN 38016-2087
Phone number: 901-566-1002
Mailing Address
MRS. LISA DIANE FAIR PMHNP-BC
3092 CHAMBERS CHAPEL RD.
ARLINGTON, TN 38002
Phone number: 901-870-7681
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