Lissade, Marianne

Lissade, Marianne is an individual health care provider with primary practice located at 1825 Rockbridge Rd Ste 15B , Stone Mountain GA 30087-3306. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Lissade, Marianne can be contacted via phone (470) 444-3134.

Contact Information

Primary practice address
1825 Rockbridge Rd Ste 15B Stone Mountain GA 30087-3306
Phone: (470) 444-3134
Fax: (470) 276-4370
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X RN147281 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN147281 Georgia

Profile Details

NPI number 1780036152
LBN Legal business name Lissade, Marianne
Credentials AGNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2016
Last updated Jan 22nd, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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