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

Individual provider Physician Assistant · NPI 1538531009

Lisa Nelson, PA-C is a Physician Assistant in Port St Lucie, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

540 NW University Blvd #107
Port St Lucie, FL 34986-2279
Phone: (321) 236-2323
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9107963 (FL)

Record details

NPI number1538531009
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 23, 2015
Last updated in NPPESSeptember 5, 2016

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