Provider Demographics
NPI:1538878459
Name:BISBY, LINDSAY ARLENE (PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:ARLENE
Last Name:BISBY
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:ARLENE
Other - Last Name:BEARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12605 DARRYL DR
Mailing Address - Street 2:
Mailing Address - City:BUDA
Mailing Address - State:TX
Mailing Address - Zip Code:78610-2551
Mailing Address - Country:US
Mailing Address - Phone:512-954-5956
Mailing Address - Fax:
Practice Address - Street 1:2001 MEDICAL PKWY STE C
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-7581
Practice Address - Country:US
Practice Address - Phone:750-651-2667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-18
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1099325363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1099325OtherSTATE OF TEXAS BON