Provider Demographics
NPI:1871059774
Name:CHEEK, LISA (FNP-BC)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:CHEEK
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:456 JUDGE WILLIAMS RD
Mailing Address - Street 2:
Mailing Address - City:SALYERSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41465-9235
Mailing Address - Country:US
Mailing Address - Phone:606-793-2827
Mailing Address - Fax:606-349-1874
Practice Address - Street 1:111 BRAD DR STE 200
Practice Address - Street 2:
Practice Address - City:SALYERSVILLE
Practice Address - State:KY
Practice Address - Zip Code:41465-8433
Practice Address - Country:US
Practice Address - Phone:606-638-4586
Practice Address - Fax:606-349-1874
Is Sole Proprietor?:No
Enumeration Date:2019-02-15
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3013151363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily