person
Lisa Jill Vandiemen, FNP
Psychiatric/Mental Health Nurse Practitioner in Longview, Texas
NPI 1396041885

Lisa Jill Vandiemen is a Psychiatric/Mental Health Nurse Practitioner based in Tyler, TX and is specialized in Psychiatric/Mental Health. Lisa Jill Vandiemen practices in Longview, TX and has the professional credentials of FNP. The NPI Number for Lisa Jill Vandiemen is 1396041885 and holds a License No. 684452 (Texas).

The current practice location address for Lisa Jill Vandiemen is 615 Clinic Dr, Longview, TX and can be reached out via phone at 903-571-4656 and via fax at 903-881-1994.

Location: 615 Clinic Dr, Longview, TX, 75706-4241
person
Provider Profile Details
NPI Number
1396041885
Provider Name
Lisa Jill Vandiemen
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
615 Clinic Dr, Longview, TX, 75706-4241
Phone Number
903-571-4656
Fax Number
903-881-1994
Provider Enumeration Date
02/01/2011
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
615 Clinic Dr
City
State
Zip
75605-5172
Phone Number
903-571-4656
Fax Number
903-881-1994
person
Provider Business Mailing Address Details
Address
615 Clinic Dr
City
State
Zip
75605-5172
Phone Number
903-571-4656
Fax Number
903-881-1994
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP119904 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
684452 (Texas)
Definition
Definition to come...
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