Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA MARIE DEJESUS, PMHNP
Active Sole ProprietorLISA MARIE DEJESUS, PMHNP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in TIVERTON, Rhode Island. NPI 1700410628 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · TIVERTON, RI
Registration Details
- NPI Number
- 1700410628
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 29, 2020 (6.4156638615496 yrs)
- Last Updated
- Oct 8, 2025
- Licenses
-
APRN02508 (RI)RNRN2272709 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
301 STATE AVETIVERTON, RI, 028781062Browse RI providers · Browse ZIP 02878
- Phone
- 7743003444
- Fax
- 7743079039
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in TIVERTON, RI
| Name | Credential | NPI |
|---|---|---|
| JENNIFER GLYNN | — | 1487413720 |
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.