Individual
MRS. LYNDA JIFON AGBASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP, FNP
Contact information
Practice address
5473 BLAIR RD PMB 145244, STE 100, DALLAS, TX 75231-4227
(214) 233-6069
(210) 352-9661
Mailing address
5473 BLAIR RD PMB 145244, STE 100, DALLAS, TX 75231-4227
(214) 233-6069
(210) 352-9661
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP141658
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP141658
TX
Other
Enumeration date
05/26/2019
Last updated
06/19/2025
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