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

Lisa Marie Wade

Individual provider Family Nurse Practitioner · NPI 1710379201

Lisa Marie Wade is a Family Nurse Practitioner in West Plains, Missouri. Works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2015

Practice location Address checks out

1307 Porter Wagoner Blvd
West Plains, MO 65775-1828
Phone: (417) 255-8645
Show map & directions

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

Additional practice locations (1)

  • 805 N Kentucky Ave, West Plains, MO 65775-2022 — (417) 256-2111

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2015005062 (MO)

Record details

NPI number1710379201
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 20, 2015
Last updated in NPPESJuly 1, 2021
Certification dateJuly 1, 2021
Mailing address2811 Ginger Dr, West Plains, MO 65775-1571

Other providers in West Plains