Provider Demographics
NPI:1588849566
Name:LIGHTSEY, TOMMIE LEE (APRN)
Entity Type:Individual
Prefix:MS
First Name:TOMMIE
Middle Name:LEE
Last Name:LIGHTSEY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1006 S TEXAS BLVD
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-7058
Mailing Address - Country:US
Mailing Address - Phone:956-793-8633
Mailing Address - Fax:
Practice Address - Street 1:1006 S TEXAS BLVD
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-7058
Practice Address - Country:US
Practice Address - Phone:956-969-3154
Practice Address - Fax:956-969-3154
Is Sole Proprietor?:No
Enumeration Date:2008-01-08
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX564840363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner