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

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1528632031

Lizette Mangum-Nnam Nji is a Nurse Practitioner in Dallas, Texas. Qualified in 2020, 6 years ago. Practices with Lynn Community Health, Inc, a 96-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2021
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Practice location Address checks out

4215 Gannon Ln
Dallas, TX 75237-2914
Phone: (972) 283-9090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3601 Hutch Dr, Plano, TX 75074-8965 — (781) 475-4523

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 1031514 (TX)

Record details

NPI number1528632031
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 18, 2021
Last updated in NPPESMay 4, 2022
Certification dateMay 4, 2022

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)
Group practice Lynn Community Health, Inc. — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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