Individual ProviderLisa AbnerNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address103 Chera Lynn St, London, KY 40741-3142(606) 864-4764(606) 598-5564PECOS EnrollmentBased on the most recent information from CMS, provider Lisa Abner does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1104063346Provider TypeIndividualFull NameAbner, LisaCredentialARNPGenderFemaleSole ProprietorNoEnumeration Date1/9/2009Last Updated1/9/2009Contact InformationPractice LocationPractice Address103 Chera Lynn St, London, KY 40741-3142Phone(606) 864-4764Fax(606) 864-3732Mailing LocationMailing AddressPO Box 158, Manchester, KY 40962-0158Phone(606) 598-5564Fax(606) 598-6615Provider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense1081678Kentucky