LISA ANN TIEBAUER

JACKSONVILLE, NC
NPI1700069044
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: NC  5005198)
Enumeration Date2007-12-10
Last Update Date2023-03-07
Business Address
MRS. LISA ANN TIEBAUER PMHNP-BC
200 TARPON TRL
JACKSONVILLE, NC 28546-5287
Phone number: 910-938-1114
Mailing Address
MRS. LISA ANN TIEBAUER PMHNP-BC
200 TARPON TRL
JACKSONVILLE, NC 28546-5287
Phone number: 910-938-1114
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