Unknown Individual – Family Nurse Practitioner, NPI 1669585972
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1205, East Marshall Avenue, Longview, Gregg County, Texas, 75601, United States
LONGVIEW, TX 756015649
Phone: (903) 247-8262
Type: Location
132, Garner Lane, Hallsville, Harrison County, Texas, 75650, United States
HALLSVILLE, TX 756505113
Phone: (903) 660-2860
Type: Mailing
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)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75601)
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