Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA WALLACE, RN
ActiveLISA WALLACE, RN is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in MATHER, California. NPI 1720476641 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · MATHER, CA
Registration Details
- NPI Number
- 1720476641
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 30, 2014 (11.438148370143 yrs)
- Last Updated
- Nov 12, 2021
- Licenses
-
821591 (CA)95006507 (CA)
Practice Information
- Address
-
10535 HOSPITAL WAYMATHER, CA, 956554200Browse CA providers · Browse ZIP 95655
- Phone
- 9163665336
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in MATHER, CA
| Name | Credential | NPI |
|---|---|---|
| JENNIFER RACQUEL QUINN | DNP,PMHNP-BC | 1427118504 |
| JAMES BOTTS | APRN | 1891438818 |
| YEON SOO KANG | — | 1326755067 |
| CHIBUZO CHARLES ANYAMA | APRN PMHNP-BC | 1841059912 |
| BINDU K JOSEPH | PMHNP | 1851123806 |
| BARNDEEP ZENDA | NP | 1215812243 |
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.