Lisa Ann Nelson (NPI# 1356687396, PAC ID# 2264737873) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1356687396 |
| PAC ID by PECOS | 2264737873 |
| Professional Enrollment ID | I20190626001763 |
| Full Name | Lisa Ann Nelson |
| Organization Legal Name | SAFE HARBOR CLINIC LLC |
| Address |
4013 Beatline Rd Suite A Long Beach MS 39560-4135 |
| Phone Number | 2282000720 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 1759615693 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4013 Beatline Rd, Suite A, Long Beach, MS 39560-4135 | 2282000720 | SAFE HARBOR CLINIC LLC |
| Organization Legal Name | SAFE HARBOR CLINIC LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynda R Formosa | Nurse Practitioner | Safe Harbor Clinic LLC | 4013 Beatline Rd, Suite A, Long Beach, MS 39560-4135 |
| Street Address |
4013 BEATLINE RD SUITE A |
| City | LONG BEACH |
| State | MS |
| Zip | 39560-4135 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynda R Formosa | Nurse Practitioner | Safe Harbor Clinic LLC | 4013 Beatline Rd, Suite A, Long Beach, MS 39560-4135 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David L Reeves | Pediatric Medicine | Memorial Hospital At Gulfport | 20091 Pineville Rd, Long Beach, MS 39560-3208 |
| Valerie R Lenox | Internal Medicine | Memorial Hospital At Gulfport | 5120 Beatline Rd, Suite B, Long Beach, MS 39560-3815 |
| Betty D Edrington | Nurse Practitioner | Memorial Hospital At Gulfport | 5120 Beatline Rd, Long Beach, MS 39560-3815 |
| Nancy C Montz | Internal Medicine | Memorial Hospital At Gulfport | 5120 Beatline Rd, Long Beach, MS 39560-3815 |
| Thomas L Graves | Emergency Medicine | Memorial Hospital At Gulfport | 5120 Beatline Rd, Suite B, Long Beach, MS 39560-3815 |
| Melissa Tucker | Family Medicine | Memorial Hospital At Gulfport | 5120 Beatline Rd, Suite B, Long Beach, MS 39560-3815 |
| Cristina Rupp | Nurse Practitioner | Memorial Hospital At Gulfport | 5120 Beatline Rd, Long Beach, MS 39560-3815 |
| George Ward | Family Medicine | Memorial Hospital At Gulfport | 5120 Beatline Rd, Long Beach, MS 39560-3815 |
| James M Ryan | Nurse Practitioner | Memorial Hospital At Gulfport | 5120 Beatline Rd, Suite B, Long Beach, MS 39560-3815 |
| Douglas L Bates | Physical Therapy | Encore Rehabilitation Inc | 5107 Beatline Rd, Suite 300, Long Beach, MS 39560-3874 |
| Find all physicians in zip 39560 | |||
| City | LONG BEACH |
| Zip Code | 39560 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | LONG BEACH + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Lisa Ann Nelson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.