Provider Demographics
NPI:1871004101
Name:JOSEPH, LISSY (FNP)
Entity Type:Individual
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First Name:LISSY
Middle Name:
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:FNP
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Mailing Address - Street 1:4280 MAIN ST
Mailing Address - Street 2:STE 200
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-3080
Mailing Address - Country:US
Mailing Address - Phone:972-464-2510
Mailing Address - Fax:214-705-1379
Practice Address - Street 1:1222 N BISHOP AVE STE 300
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208
Practice Address - Country:US
Practice Address - Phone:214-941-1353
Practice Address - Fax:214-941-1047
Is Sole Proprietor?:No
Enumeration Date:2017-10-13
Last Update Date:2021-11-10
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Provider Licenses
StateLicense IDTaxonomies
TXAP134674207Q00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine