Provider Demographics
NPI:1518753821
Name:CASE, LISA ANNE (RN)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:ANNE
Last Name:CASE
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1910 FIVE OAKS LN
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37801-3106
Mailing Address - Country:US
Mailing Address - Phone:423-240-7966
Mailing Address - Fax:
Practice Address - Street 1:4409 CHAPMAN HWY STE W
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-4326
Practice Address - Country:US
Practice Address - Phone:865-545-9322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN75966163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse