Vandiemen, Lisa Jill

Vandiemen, Lisa Jill is an sole proprietor health care provider with primary practice located at 615 Clinic Dr , Longview TX 75605-5172. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Vandiemen, Lisa Jill can be contacted via phone (903) 571-4656.

Contact Information

Primary practice address
615 Clinic Dr Longview TX 75605-5172
Phone: (903) 571-4656
Fax: (903) 881-1994
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 684452 Texas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP119904 Texas

Profile Details

NPI number 1396041885
LBN Legal business name Vandiemen, Lisa Jill
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2011
Last updated May 2nd, 2024 - about 6 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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