MEDICARE: MS. LISA A GINAPP AGACNP, WCC,DWC,OMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	AP113811	TX
2	363LG0600X	Gerontology Nurse Practitioner	AP113811	TX
3	363LA2200X	Adult Health Nurse Practitioner	AP113811	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	525674	OTHER	TX	RN APN LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	12638858	OTHER	TX	CAQH
4	AP113811	OTHER	TX	ADVANCED PRACTICE REGISTERED NURSE

General Provider Information

NPI Number	:	1376594259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LISA A GINAPP AGACNP, WCC,DWC,OMS

Provider Business Mailing Address
First Line	:	1605 LANIER DR
Second Line	:
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-4716
Country	:	US
Telephone Number	:	281-923-4315
Fax Number	:	844-927-4325

Provider Business Practice Location Address
First Line	:	8900 EMMETT F LOWRY EXPY STE 200
Second Line	:
City	:	TEXAS CITY
State	:	TX
Zip	:	77591-9119
Country	:	US
Telephone Number	:	281-923-4315
Fax Number	:	844-927-4325

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2006
Last Update Date	:	06/09/2025

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Directions to “ MS. LISA A GINAPP AGACNP, WCC,DWC,OMS” Practice Location

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