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

Lisa Ann Kennelly, NP

Individual provider Adult Health Nurse Practitioner · NPI 1508352972

Lisa Ann Kennelly, NP is an Adult Health Nurse Practitioner in Fontana, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

16931 Bayou Ln
Fontana, CA 92336-2199
Phone: (909) 921-3072
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 95009012 (CA)

Record details

NPI number1508352972
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 9, 2018
Last updated in NPPESJuly 9, 2018

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