Healthcare Provider Details

I. General information

NPI: 1609331529
Provider Name (Legal Business Name): CHRISTINE M LEE PMHNP-BC, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2019
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 W 38TH ST STE 44
AUSTIN TX
78731-6319
US

IV. Provider business mailing address

2500 WALSH TARLTON LN APT 1128
AUSTIN TX
78746-7764
US

V. Phone/Fax

Practice location:
  • Phone: 512-957-2848
  • Fax:
Mailing address:
  • Phone: 512-618-1315
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP138938
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP138938
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP138938
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: