NPI 1023251600
Richard Joe Lisk, QBHP
Practice location
- Address
- 2126 N. 1st Street Suite F, Jacksonville, AR 72076
- Phone
- (501) 982-5000
- Fax
- (501) 982-5007
- Mailing address
- 1815 Pleasant Grove Road, Jonesboro, AR 72404
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1023251600
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 13 Apr 2009
- Record last updated
- 30 Jul 2018
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.