Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lissa Flory McDonald, AG-ACNPBC

Individual provider Nurse Practitioner · NPI 1265030787

Lissa Flory McDonald, AG-ACNPBC is a Nurse Practitioner in Lubbock, Texas. Qualified in 2020, 6 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

3506 21st St Ste 400
Lubbock, TX 79410-1200
Phone: (806) 725-4115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4679 Dreibrodt Rd, San Marcos, TX 78666-3388 — (915) 261-3892

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 1010313 (TX)
Nurse Practitioner Taxonomy 363L00000X · Licence 1010313 (TX)

Record details

NPI number1265030787
Entity typeIndividual (Type 1)
GenderFemale
Credentials AG-ACNPBC
Sole proprietorYes
NPI enumeratedOctober 16, 2020
Last updated in NPPESMarch 17, 2025
Certification dateMarch 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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