Lissa Nicole Roux
FNP | Nurse Practitioner | 13+ years Exp
2400 Poplar Ave, Suite 501, Memphis
Tennessee, 38112-3213
901-701-2580
Accepts Medicare Nurse Anesthetist in Memphis, Tennessee.Lissa Nicole Roux is a Memphis, Tennessee based nurse practitioner with 13 years of experience in Nurse Practitioner. She completed her graduation in 2012. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Lissa Nicole Roux is 16791 for Family in Tennessee. Her current practice location is 2400 Poplar Ave, Suite 501, Memphis. Patients can reach her at 901-701-2580 or can fax her at 901-260-8449. Lissa Nicole Roux is FNP with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1902151095.
Lissa Nicole Roux has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Lissa Nicole Roux speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Lissa Nicole Roux |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | FNP |
| Experience: | 13+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2012 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 2400 Poplar Ave, Suite 501, Memphis, Tennessee, 38112-3213 |
| Phone: | 901-701-2580 |
| Fax: | 901-260-8449 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 8729235262 |
| Enrollment ID: | I20120905000776 |
| NPI Number: | 1902151095 |
| NPI Enumeration Date: | 16 Jul, 2012 |
| NPI Last Update On: | 30 Mar, 2015 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lissa Nicole Roux are as mentioned below.
| License Number | Specialization | State | Status | |
| 16791 | Family | Tennessee | Primary | |
| R881642 | Registered Nurse | Mississippi | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Lissa Nicole Roux is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Christ Community Health Services Inc. (3870402084) | 53 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Lissa Nicole Roux such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1529003 | Medicaid | Tennessee | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Lissa Nicole Roux 2595 Central Ave, Memphis, Tennessee |
| Zip: | 38104-5905 |
| Phone Number: | 901-260-8500 |
| Fax Number: | 901-260-8598 |
Patients can reach Lissa Nicole Roux at
2400 Poplar Ave, Suite 501, Memphis, Tennessee or can
call to book an appointment on 901-701-2580.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.