Individual provider · Type 1 NPI

Lisa Jill Vandiemen, FNP

Psychiatric/Mental Health Nurse Practitioner · Longview, TX

NPI number 1396041885 Active

Practice location

615 Clinic Dr
Longview, TX 75605-5172

Fax (903) 881-1994

Mailing address

12197 Cross Fence Trl
Tyler, TX 75706-4241

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X684452 (TX)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAP119904 (TX)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1396041885

Lisa Jill Vandiemen, FNP's National Provider Identifier is 1396041885, issued on Feb 1, 2011. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Longview, TX. The record was last updated on May 2, 2024.