Individual provider · Type 1 NPI

Lissa Nicole Roux, FNP

Family Nurse Practitioner · Memphis, TN

NPI number 1902151095 Active

Practice location

2400 Poplar Ave, Suite 501
Memphis, TN 38112-3213

Fax (901) 260-8449

Mailing address

2595 Central Ave
Memphis, TN 38104-5905

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XR881642 (MS)
Family Nurse Practitioner Primary 363LF0000X16791 (TN)

Family Nurse Practitioner: Definition to come...

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About NPI 1902151095

Lissa Nicole Roux, FNP's National Provider Identifier is 1902151095, issued on Jul 16, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Memphis, TN. The record was last updated on Mar 30, 2015.