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

Lisa L Davidson, GNP

Individual provider Nurse Practitioner · NPI 1568436939

Lisa L Davidson, GNP is a Nurse Practitioner in Minneapolis, Minnesota. Qualified in 2001, 25 years ago. Practices with Herself Health Mn PC, a 31-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
25
Licensed in
MN
In the registry since
2006
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Practice location Address checks out

4730 Chicago Ave
Minneapolis, MN 55407-3570
Phone: (952) 883-6805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 855 (MN)

Record details

NPI number1568436939
Entity typeIndividual (Type 1)
GenderFemale
Credentials GNP
Sole proprietorNo
NPI enumeratedFebruary 14, 2006
Last updated in NPPESAugust 11, 2021
Certification dateAugust 11, 2021
Mailing address8170 33rd Ave S, Ms 21110q, Bloomington, MN 55425-4516

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Herself Health Mn Pc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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