Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa M Bashore, PNP

Individual provider Pediatric Nurse Practitioner · NPI 1750522397

Lisa M Bashore, PNP is a Pediatric Nurse Practitioner in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2009.

Licensed in
TX
In the registry since
2009
What do these letters mean?
PNP — Pediatric Nurse Practitioner
A nurse practitioner specialising in children.

See every abbreviation used in this directory →

Practice location Address checks out

1500 Cooper St
Fort Worth, TX 76104-2710
Phone: (682) 885-4007
Fax: (682) 885-4004
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 673778 (TX)

Record details

NPI number1750522397
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP
Sole proprietorNo
NPI enumeratedMarch 11, 2009
Last updated in NPPESMay 10, 2021
Certification dateMay 10, 2021
Mailing addressPo Box 733784, Dallas, TX 75373-3784

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