Female

Sallie J. Lisle ACAG DNP

Acute Care Nurse Practitioner in Athens, GA(View on Map)

Full Name

Sallie Jayne Lisle ACAG DNP

NPI Number

1558810788

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/29/2016

Specialties

(Taxonomies)

Code

363LA2100X

Primary Taxonomy

Yes

Licenses

State

Georgia

License Number

RN085783

Contact
Information

Purpose

Mailing
Location

Address

743 SPRING ST NE
1199 PRINCE AVE

City

Gainesville
Athens

State

GA
GA

Postal Code

30501-3715
30606-2797

Country

US
US

Telephone Number

(770) 219-6634
(706) 546-7646

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/20/2020

Provider Address

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