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

Mary Macon Lissner, FNP-C

Individual provider Family Nurse Practitioner · NPI 1811375132

Mary Macon Lissner, FNP-C is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2014, 12 years ago. Practices with Honorhealth Urgent Care LLC, a 103-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona, Georgia and Maryland.

Years since qualifying
12
Licensed in
AZ, GA, MD
In the registry since
2015
Specialties on file
3
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

5259 W Indian School Rd Ste 100
Phoenix, AZ 85031-2651
Phone: (623) 888-5101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2118 Scenic Hwy N Ste H, Snellville, GA 30078-6197 — (770) 207-9201

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 272005 (AZ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN234158 (GA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence R222059 (MD)

Record details

NPI number1811375132
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedMay 7, 2015
Last updated in NPPESSeptember 15, 2024
Certification dateSeptember 15, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Honorhealth Urgent Care Llc — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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