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

Mrs. Lisa Ann Wynn, APRN

Individual provider Nurse Practitioner · NPI 1295065688

Mrs. Lisa Ann Wynn, APRN is a Nurse Practitioner in Pennington Gap, Virginia. Qualified in 2016, 10 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Kentucky and Virginia.

Years since qualifying
10
Licensed in
KY, VA
In the registry since
2010
Specialties on file
3
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

41718 W Morgan Ave Ste 101
Pennington Gap, VA 24277-3224
Phone: (276) 231-9228
Fax: (877) 770-7177
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024184082 (VA)
Nurse Practitioner Taxonomy 363L00000X · Licence 3010956 (KY)
Nurse Practitioner Taxonomy 363L00000X · Licence 0024184082 (VA)

Record details

NPI number1295065688
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedJanuary 6, 2010
Last updated in NPPESMarch 17, 2025
Certification dateMarch 17, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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