Healthcare Provider Details

I. General information

NPI: 1942112552
Provider Name (Legal Business Name): LISA C. COX PSYCH NP, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1370 NW 114TH ST STE 109
CLIVE IA
50325-7008
US

IV. Provider business mailing address

1370 NW 114TH ST STE 109
CLIVE IA
50325-7008
US

V. Phone/Fax

Practice location:
  • Phone: 515-373-5500
  • Fax: 515-854-4610
Mailing address:
  • Phone: 515-373-5500
  • Fax: 515-854-4610

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LISA CHRISTINE COX
Title or Position: NURSE PRACTICINER
Credential: PMHNP-BC
Phone: 515-373-5500