Provider Demographics
NPI:1700413697
Name:LISA CHEEK FNP-BC LLC DBA RELIANCE FAMILY HEALTHCARE
Entity Type:Organization
Organization Name:LISA CHEEK FNP-BC LLC DBA RELIANCE FAMILY HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEEK
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:606-638-4586
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:606-638-4586
Mailing Address - Fax:
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-23
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty