person
Marianne Lissade, AGNP-C
Adult Health Nurse Practitioner in Stone Mountain, Georgia
NPI 1780036152

Marianne Lissade is an Adult Health Nurse Practitioner based in Atlanta, GA and is specialized in Adult Health. Marianne Lissade practices in Stone Mountain, GA and has the professional credentials of AGNP-C. The NPI Number for Marianne Lissade is 1780036152 and holds a License No. RN147281 (Georgia).

The current practice location address for Marianne Lissade is 1825 Rockbridge Rd Ste 15B, Stone Mountain, GA and can be reached out via phone at 470-444-3134 and via fax at 470-276-4370. You can also correspond with Marianne Lissade through the mailing address at PO BOX 740015, ATLANTA, GA - 30374-0015 (mailing address contact number: 312-733-9730).

Location: 1825 Rockbridge Rd Ste 15B, Stone Mountain, GA, 30374-0015
person
Provider Profile Details
NPI Number
1780036152
Provider Name
Marianne Lissade
Credential
AGNP-C
Provider Entity Type
Individual
Gender
Female
Address
1825 Rockbridge Rd Ste 15B, Stone Mountain, GA, 30374-0015
Phone Number
470-444-3134
Fax Number
470-276-4370
Provider Enumeration Date
07/08/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1825 Rockbridge Rd Ste 15B
City
State
Zip
30087-3306
Phone Number
470-444-3134
Fax Number
470-276-4370
person
Provider Business Mailing Address Details
Address
1825 Rockbridge Rd Ste 15B
City
State
Zip
30087-3306
Phone Number
470-444-3134
Fax Number
470-276-4370
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
RN147281 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
RN147281 (Georgia)
Definition
Definition to come...
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