Provider Demographics
NPI:1992390686
Name:DUNGY, KARISSA LAVELLE (MSN, APRN, PMHNP- BC)
Entity Type:Individual
Prefix:
First Name:KARISSA
Middle Name:LAVELLE
Last Name:DUNGY
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Gender:F
Credentials:MSN, APRN, PMHNP- BC
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Other - First Name:
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Mailing Address - Street 1:4425 S MOPAC EXPY STE 502
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78735-6725
Mailing Address - Country:US
Mailing Address - Phone:512-708-9477
Mailing Address - Fax:210-899-1221
Practice Address - Street 1:4425 S MOPAC EXPY
Practice Address - Street 2:STE 502
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78735
Practice Address - Country:US
Practice Address - Phone:210-557-0329
Practice Address - Fax:210-899-1221
Is Sole Proprietor?:No
Enumeration Date:2021-03-04
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1031595363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health