Organization
LISA A FITE MSN, PMHNP-BC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLYE M TAYLOR (OFFICE MANAGER)
(469) 719-4919
Entity
Organization
Contact information
Practice address
3101 JOE RAMSEY BLVD E STE 104, GREENVILLE, TX 75401-7762
(903) 454-1700
(903) 454-1701
Mailing address
3101 JOE RAMSEY BLVD E STE 104, GREENVILLE, TX 75401-7762
(903) 454-1700
(903) 454-1701
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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