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

MS. Lisa Ann Weaver, FNP-C

Individual provider Family Nurse Practitioner · NPI 1134124902

MS. Lisa Ann Weaver, FNP-C is a Nurse Practitioner in Pulaski, Tennessee. Qualified in 1994, 32 years ago. Practices with Amg-Hillside LLC, a 26-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
32
Licensed in
TN
In the registry since
2005
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

104 Ivy Ln
Pulaski, TN 38478-4550
Phone: (931) 424-1330
Fax: (931) 424-0019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 6319 (TN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 79070 (TN)

Record details

NPI number1134124902
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedJune 16, 2005
Last updated in NPPESOctober 9, 2009

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Amg-Hillside Llc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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