Unknown Individual – Family Nurse Practitioner, NPI 1558304907
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
625, Russell Boulevard, Nacogdoches, Nacogdoches County, Texas, 75965, United States
NACOGDOCHES, TX 759651247
Phone: (936) 564-4237
Fax: (936) 560-5647
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75965)
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