Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa Abdul-Haqq, CRNP

Individual provider Primary Care Nurse Practitioner · NPI 1982369708

Lisa Abdul-Haqq, CRNP is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2021, 5 years ago. Practices with Dedicated Pennsylvania Holding LLC, an 18-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
5
Licensed in
PA
In the registry since
2021
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

6431 Sackett St
Philadelphia, PA 19149
Phone: (267) 448-4908
Fax: (267) 297-3950
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence SP024729 (PA)

Record details

NPI number1982369708
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorYes
NPI enumeratedNovember 5, 2021
Last updated in NPPESMay 26, 2022
Certification dateMay 26, 2022
Mailing address6431 Sackett St, Philadelphia, PA 19149

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Dedicated Pennsylvania Holding Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Philadelphia