LISSETTE KINSELLA

MARTHA JEFFERSON MEDICAL GROUP LLC

Dr LISSETTE KINSELLA is a female medical professional, specializing in Nurse Practitioner. She graduated in 2013.

Contact

MARTHA JEFFERSON MEDICAL GROUP LLC

33 REBECCA DR
PALMYRA
VA
229636242

Tel: 4346544680

LISSETTE KINSELLA Information

Npi 1609204569
Pac Id 5496979205
Professional Enrollment Id I20140618001218
Last Name KINSELLA
First Name LISSETTE
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2013
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MARTHA JEFFERSON MEDICAL GROUP LLC
Group Practice Pac Id 5991889081
Number Of Group Practice Members 153
Line 1 Street Address 33 REBECCA DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City PALMYRA
State VA
Zip Code 229636242
Phone Number 4346544680
Hospital Affiliation Ccn 1 490077
Hospital Affiliation Lbn 1 SENTARA MARTHA JEFFERSON HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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