Dr Lisa M Jacola, PHD is a
Clinical Neuropsychologist based in Memphis, Tennessee. Dr Lisa M Jacola is licensed to practice in Tennessee (license number 3215) and her current practice location is
262 Danny Thomas Pl, Ms 740 - St. Jude Children's Research Hospital, Memphis, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(901) 595-5042.
NPI number for Dr Lisa M Jacola is 1750784096 and her current mailing address is 262 Danny Thomas Pl, Ms 740 - St. Jude Children's Research Hospital, Memphis, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750784096.
Healthcare Provider's Profile
Full Name | Dr Lisa M Jacola |
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Gender | Female |
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Speciality | Clinical Neuropsychologist |
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Location | 262 Danny Thomas Pl, Memphis, Tennessee |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1750784096
- Provider Enumeration Date: 10/01/2014
- Last Update Date: 01/24/2025
Medical Identifiers
Medical identifiers for Dr Lisa M Jacola such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750784096 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 3215 (Tennessee) | Secondary |
103G00000X | Clinical Neuropsychologist | 3215 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lisa M Jacola is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Lisa M Jacola, PHD 262 Danny Thomas Pl, Ms 740 - St. Jude Children's Research Hospital, Memphis, TN 38105-3678 Ph: (901) 595-5042 | Dr Lisa M Jacola, PHD 262 Danny Thomas Pl, Ms 740 - St. Jude Children's Research Hospital, Memphis, TN 38105-3678 Ph: (901) 595-5042 |
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