Provider Demographics
NPI:1033544200
Name:CHAPMAN, LISA MICHELE (CNP)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:MICHELE
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:796 CINCINNATI BATAVIA PIKE STE 101
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45245-1262
Mailing Address - Country:US
Mailing Address - Phone:513-752-5800
Mailing Address - Fax:513-752-7095
Practice Address - Street 1:796 CINCINNATI BATAVIA PIKE STE 101
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45245-1262
Practice Address - Country:US
Practice Address - Phone:513-752-5800
Practice Address - Fax:513-752-7095
Is Sole Proprietor?:No
Enumeration Date:2013-09-06
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH15233-NP363L00000X
OHCNP.15233363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0092027Medicaid