| Doctor Name: | LISA JAMIL |
| NPI Number: | 1063705366 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN9172164 |
| Business Practice Address: | 9710 White Barn Way Riverview, FL - 335695598 |
| Business Phone Number: | 8137857521 |
| Business Fax Number: | 8137413027 |
| Mailing Address: | 9710 White Barn Way, RIVERVIEW |
| State: | FL |
| Postal Code: | 335695598 |
| Phone Number: | 8137857521 |
| Fax Number: | 8137413027 |
| NPI Enumeration Date: | 05/18/2011 |
| NPI Last Update Date: | 05/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WX0800X |
| License Number: | RN9172164 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |