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

Lisa Shamblin

Individual provider Registered Nurse · NPI 1225634736

Lisa Shamblin is a Registered Nurse in Charleston, West Virginia. Licensed in West Virginia. Registered with an NPI since 2020.

Licensed in
WV
In the registry since
2020

Practice location Address checks out

4510 Pennsylvania Ave
Charleston, WV 25302-4835
Phone: (304) 965-9081
Fax: (304) 471-2488
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 30302 (WV)

Record details

NPI number1225634736
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 9, 2020
Last updated in NPPESDecember 9, 2020
Certification dateDecember 9, 2020

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