Individual provider · Type 1 NPI

Lisa Danielle Proctor, APRN FNP-C

Family Nurse Practitioner · Tyler, TX

NPI number 1508521584 Active

Practice location

3593 E Grande Blvd
Tyler, TX 75707-1400

Fax (903) 525-1590

Mailing address

104 N Beech St
Woodville, TX 75979-4718

Other practice locations

  • 104 N Beech St, Woodville, TX 75979-4718 · (409) 283-2822

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1058113 (TX)

Family Nurse Practitioner: Definition to come...

12 other providers at this address

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About NPI 1508521584

Lisa Danielle Proctor, APRN FNP-C's National Provider Identifier is 1508521584, issued on Nov 3, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tyler, TX. The record was last updated on Sep 8, 2026.