Mrs. Lisa Ann Tiebauer
PMHNP-BC | Nurse Practitioner - Psych/Mental Health | 20+ years Exp
200 Tarpon Trl, Jacksonville
North Carolina, 28546-5287
910-938-1114
Mrs. Lisa Ann Tiebauer is a Jacksonville, North Carolina based nurse practitioner with 20 years of experience in Psych/Mental Health. She completed her graduation in 2005. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mrs. Lisa Ann Tiebauer is 5005198 for Psych/Mental Health in North Carolina. Her current practice location is 200 Tarpon Trl, Jacksonville. Patients can reach her at 910-938-1114 or can fax her at 910-938-1118. Mrs. Lisa Ann Tiebauer is PMHNP-BC with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1700069044.
Mrs. Lisa Ann Tiebauer provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Mrs. Lisa Ann Tiebauer speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mrs. Lisa Ann Tiebauer |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Female |
| Credentials: | PMHNP-BC |
| Experience: | 20+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2005 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 200 Tarpon Trl, Jacksonville,
North Carolina, 28546-5287 |
| Phone: | 910-938-1114 |
| Fax: | 910-938-1118 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 9436218054 |
| Enrollment ID: | I20171129003107 |
| NPI Number: | 1700069044 |
| NPI Enumeration Date: | 10 Dec, 2007 |
| NPI Last Update On: | 07 Mar, 2023 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Lisa Ann Tiebauer are as mentioned below.
| License Number | Specialization | State | Status | |
| 5005198 | Psych/Mental Health | North Carolina | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mrs. Lisa Ann Tiebauer is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Coastal Carolina Neuropsychiatric Center Pa (5890794689) | 33 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mrs. Lisa Ann Tiebauer
200 Tarpon Trl,
Jacksonville, North Carolina |
| Zip: | 28546-5287 |
| Phone Number: | 910-938-1114 |
| Fax Number: | 910-938-1118 |
Patients can reach Mrs. Lisa Ann Tiebauer at
200 Tarpon Trl, Jacksonville, North Carolina or can
call to book an appointment on 910-938-1114.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.