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Lizette Mangum-nnam Nji
Psychiatric/Mental Health Nurse Practitioner in Dallas, Texas
NPI 1528632031

Lizette Mangum-nnam Nji is a Psychiatric/Mental Health Nurse Practitioner based in Plano, TX and is specialized in Psychiatric/Mental Health. Lizette Mangum-nnam Nji practices in Dallas, TX. The NPI Number for Lizette Mangum-nnam Nji is 1528632031 and holds a License No. 1031514 (Texas).

The current practice location address for Lizette Mangum-nnam Nji is 4215 Gannon Ln, Dallas, TX and can be reached out via phone at 972-283-9090.

Location: 4215 Gannon Ln, Dallas, TX, 75074-8965
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528632031
Provider Name
Lizette Mangum-nnam Nji
Credential
Provider Entity Type
Individual
Gender
Female
Address
4215 Gannon Ln, Dallas, TX, 75074-8965
Phone Number
972-283-9090
Fax Number
Provider Enumeration Date
05/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4215 Gannon Ln
City
Dallas
State
Texas
Zip
75237-2914
Phone Number
972-283-9090
Fax Number
person
Provider Business Mailing Address Details
Address
4215 Gannon Ln
City
Dallas
State
Texas
Zip
75237-2914
Phone Number
972-283-9090
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
1031514 (Texas)
Definition
Definition to come...
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