NPI 1003050576

Lisa Vivienne Poling, NP

Practitioner Family Nurse Practitioner Kennesaw, GA

Practice location

Address: 1000 Chastain Rd NW, Kennesaw, GA 30144-5588
Phone: (678) 797-2844
Fax: (678) 797-2827

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence RN067035NP (GA)

Other Nurse Practitioner providers in Georgia →

Registry record

NPI: 1003050576
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Apr 2009
Record last updated: 12 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.