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

Lisa Dunivan King, NP

Individual provider Family Nurse Practitioner · NPI 1407520786

Lisa Dunivan King, NP is a Nurse Practitioner in Jackson, Tennessee. Qualified in 2019, 7 years ago. Practices with Christian Family Medicine, LLC, a 33-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
7
Licensed in
TN
In the registry since
2021
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1605 S Highland Ave
Jackson, TN 38301-7718
Phone: (731) 424-9741
Fax: (731) 427-5241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 28972 (TN)

Record details

NPI number1407520786
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 2, 2021
Last updated in NPPESAugust 2, 2021
Certification dateJuly 1, 2021
Mailing address375 Peddy Vestal Loop, Henderson, TN 38340-3492

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Christian Family Medicine, Llc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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