Provider Demographics
NPI:1386310191
Name:CHAPPELL, LISA JAYE (RN, DNP)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:JAYE
Last Name:CHAPPELL
Suffix:
Gender:F
Credentials:RN, DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 620042
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80162-0042
Mailing Address - Country:US
Mailing Address - Phone:720-360-7787
Mailing Address - Fax:
Practice Address - Street 1:5332 S ROBB CT
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-3301
Practice Address - Country:US
Practice Address - Phone:720-360-7787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-20
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.0169971163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse