Moody, Lissette Y
Moody, Lissette Y is an sole proprietor health care provider with primary practice located at 661 E Altamonte Dr Ste 324 , Altamonte Springs FL 32701. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Moody, Lissette Y can be contacted via phone (407) 303-3031.Contact Information
Primary practice address
661 E Altamonte Dr Ste 324
Altamonte Springs FL 32701
Phone: (407) 303-3031
Fax: (407) 303-3047
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ARNP9253441 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 363LA2200X | Florida |
Profile Details
NPI number | 1922379866 |
---|---|
LBN Legal business name | Moody, Lissette Y |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 24th, 2012 |
Last updated | Jul 30th, 2018 - about 6 years 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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