Provider Demographics
NPI:1154672186
Name:KARR, LISA ANN (ARNP)
Entity Type:Individual
Prefix:MS
First Name:LISA
Middle Name:ANN
Last Name:KARR
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:14011 BEACH BLVD
Mailing Address - Street 2:STE 120
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32250-1695
Mailing Address - Country:US
Mailing Address - Phone:904-621-8350
Mailing Address - Fax:904-621-8351
Practice Address - Street 1:14011 BEACH BLVD STE 120
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32250-1695
Practice Address - Country:US
Practice Address - Phone:904-621-8350
Practice Address - Fax:904-621-8351
Is Sole Proprietor?:No
Enumeration Date:2012-10-01
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN1857372363L00000X
FLAPRN1857372363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner