NPI
Lisa Ann Wynn
NPI 1295065688
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- APRN
- Type
- Individual
- Enumeration date
- 2010-01-06
- Last updated
- 2025-03-17
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Specialties
Licenses
- License KY
- 3010956
- License VA
- 0024184082
Location
- Practice location
- 41718 W Morgan Ave Ste 101
- City
- Pennington Gap VA
- Postal code
- 24277-3224
- Phone
- (276) 231-9228
- Fax
- (877) 770-7177
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Family Nurse Practitioners in Pennington Gap, VA. 11 with this primary taxonomy in the public file.
Other NPIs in Pennington Gap, VA. 125 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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