MS. LISA LAVONNE KEARNS MSN APRN BC NPI 1720054844

NPI Information

NPI: 1720054844
Provider Name: MS. LISA LAVONNE KEARNS, MSN APRN BC
Classification: Clinical Nurse Specialist - 364SP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
500 BURLINGTON RD STE 240
JACKSON, OH
ZIP 45640
Phone: (740) 286-5075
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MS. Lisa Lavonne Kearns, MSN APRN BC is a psychiatric/mental health clinical nurse specialist in Jackson, OH. MS. Lisa Lavonne Kearns, MSN APRN BC NPI is 1720054844. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

500 BURLINGTON RD STE 240
JACKSON, OH
ZIP 45640-360
Phone: (740) 286-5075
Fax: (740) 395-8411

The NPI 1720054844 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/28/2006 and was last updated on 11/6/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	55208	WEST VIRGINIA	No
2	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health	COA.07488-NS	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	2476913	MEDICAID	OHIO
2	0005355002	MEDICAID	WEST VIRGINIA
3	0200820	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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