Individual provider · Type 1 NPI

Marianne Lissade, AGNP-C

Adult Health Nurse Practitioner · Stone Mountain, GA

NPI number 1780036152 Active

Practice location

1825 Rockbridge Rd Ste 15B
Stone Mountain, GA 30087-3306

Fax (470) 276-4370

Mailing address

PO Box 740015
Atlanta, GA 30374-0015

Other practice locations

  • 133 W Athens St, Winder, GA 30680-1786 · (770) 867-6633

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600XRN147281 (GA)
Adult Health Nurse Practitioner Primary 363LA2200XRN147281 (GA)

Adult Health Nurse Practitioner: Definition to come...

17 other providers at this address

Other adult health nurse practitioner providers in Stone Mountain

See all in Stone Mountain →

About NPI 1780036152

Marianne Lissade, AGNP-C's National Provider Identifier is 1780036152, issued on Jul 8, 2016. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Stone Mountain, GA. The record was last updated on Jan 22, 2024.