IndividualActive
Lisa Gore, CRNP
NPI 1104955327 · Critical Care Neonatal Nurse Practitioner · Mobile, AL
Provider details
- NPI number
- 1104955327
- Entity type
- Individual
- Primary specialty
- Critical Care Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- License
- 1-057454 (AL)
Mailing address
8955 Lake View Dr
Fairhope, AL 36532-6971
Registry dates
- Enumerated
- 2007-03-05
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.