| Mrs Lisa Marie Rose-cantrell, FNP | |
|
5440 Hillandale Drive, Kaiser Permanente Panola Medical Center, Lithonia, GA 30058 | |
| (770) 322-3216 | |
| (770) 938-1759 |
| Full Name | Mrs Lisa Marie Rose-cantrell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 5440 Hillandale Drive, Lithonia, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114053345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN190406NP (Georgia) | Primary |
| Entity Name | The Southeast Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
| Entity Name | Vision Medical Consulting, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073562922 PECOS PAC ID: 3678589967 Enrollment ID: O20060223000402 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lisa Marie Rose-cantrell, FNP 3495 Piedmont Road, Ne, Nine Piedmont Center, Atlanta, GA 30305 Ph: (404) 364-7070 | Mrs Lisa Marie Rose-cantrell, FNP 5440 Hillandale Drive, Kaiser Permanente Panola Medical Center, Lithonia, GA 30058 Ph: (770) 322-3216 |
Ms. Abisola A Ajayi, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5700 Hillandale Dr, Suite 250, Lithonia, GA 30058 Phone: 770-981-5431 Fax: 770-981-5515 | |
Lenice Murdock-cohen, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3641 Raiders Ridge Dr, Lithonia, GA 30038 Phone: 404-444-0649 | |
Glory Abuajah, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2801 Dekalb Medical Pkwy, Lithonia, GA 30058 Phone: 404-501-8460 | |
Mr. Simon Njelefack Ekokobe, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1487 Alice Ave, Lithonia, GA 30058 Phone: 404-314-0776 | |
Bria Alexia Wilson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2745 Dekalb Medical Pkwy Ste 200, Lithonia, GA 30058 Phone: 678-368-6913 | |
Ms. Lesteena Johana Staines, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2045 Lown Farm Trl, Lithonia, GA 30058 Phone: 470-755-1064 |