Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER ANNE LISA, PMHNP-BC
Active Sole ProprietorJENNIFER ANNE LISA, PMHNP-BC is a Nurse Practitioner healthcare provider located in DUNDALK, Maryland. NPI 1245014869 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · DUNDALK, MD
Registration Details
- NPI Number
- 1245014869
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 23, 2023 (2.9719419806696 yrs)
- Last Updated
- Sep 29, 2025
- License
-
R178139 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1576 MERRITT BLVD STE 8DUNDALK, MD, 212222114Browse MD providers · Browse ZIP 21222
- Phone
- 4435306921
- Primary Specialty
-
Nurse Practitioner
363L00000X
Other Nurse Practitioner Providers in DUNDALK, MD
| Name | Credential | NPI |
|---|---|---|
| MS. ANNARUTH KELLEY URBONOWICZ | CPNP | 1770772196 |
| EMILY SAPP | CRNP | 1619519303 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.