Healthcare Provider Details

I. General information

NPI: 1932982055
Provider Name (Legal Business Name): LISA JOY PARROTT FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2023
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 STATE HIGHWAY 75 N STE 130
HUNTSVILLE TX
77320-3154
US

IV. Provider business mailing address

605 S CONROE MEDICAL DR
CONROE TX
77304-4722
US

V. Phone/Fax

Practice location:
  • Phone: 936-539-4004
  • Fax: 936-291-0746
Mailing address:
  • Phone: 936-539-4004
  • Fax: 936-539-3635

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1129218
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: