LISSA FLORY AG-ACNP BC NPI 1265030787

NPI Information

NPI: 1265030787
Provider Name: LISSA FLORY, AG-ACNP BC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
4679 DREIBRODT RD
SAN MARCOS, TX
ZIP 78666
Phone: (915) 261-3892
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Lissa Flory, AG-ACNP BC is an acute care nurse practitioner in San Marcos, TX with 4 years of experience. Lissa Flory, AG-ACNP BC NPI is 1265030787. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4679 DREIBRODT RD
SAN MARCOS, TX
ZIP 78666-388
Phone: (915) 261-3892

The NPI 1265030787 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/16/2020 and was last updated on 10/10/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		1010313	TEXAS	No
2	363LA2100X	Nurse Practitioner	Acute Care	1010313	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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