Marianne Lissade, AGNP-C
Marianne Lissade, AGNP-C is a Nurse Practitioner in Stone Mountain, Georgia. Qualified in 2016, 10 years ago. Practices with Center for Pan Asian Community Services, Inc, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 10
- Licensed in
- GA
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
1825 Rockbridge Rd Ste 15BStone Mountain, GA 30087-3306
Phone: (470) 444-3134
Fax: (470) 276-4370
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 133 W Athens St, Winder, GA 30680-1786 — (770) 867-6633
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence RN147281 (GA) |
|---|---|
| Gerontology Nurse Practitioner | Taxonomy 363LG0600X · Licence RN147281 (GA) |
Record details
| NPI number | 1780036152 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | AGNP-C |
| Sole proprietor | No |
| NPI enumerated | July 8, 2016 |
| Last updated in NPPES | January 22, 2024 |
| Certification date | January 22, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Group practice | Center For Pan Asian Community Services, Inc. — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Stone Mountain
-
Marc Elie Cayemitte, AGNP-C
5462 Memorial Dr Ste 101, Stone Mountain, GA 30083-3239 · (470) 544-0854
-
Mrs. Asata Kamara, NP
5300 Memorial Dr Ste 101, Stone Mountain, GA 30083-3154 · (470) 918-9719