Kendra Deann Proctor in Paris - Nurse Practitioner

Kendra Deann Proctor - NPI 1396764981

Kendra Deann Proctor is a Nurse Practitioner in Paris, Texas. Kendra Deann Proctor practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Kendra Deann Proctor is 1396764981. The last update date is 2021-09-22.

Kendra Deann Proctor's current location address is 1128 Clarksville St, Paris, Texas. You can contact this provider via phone number 9037854362 and fax number 9037829365. The mailing address for Kendra Deann Proctor is 1128 Clarksville St, Paris, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Kendra Deann Proctor
Address 1128 Clarksville St, Paris, Texas
Phone Number 9037854362
Fax Number 9037829365
Sole Proprietor N
Credentials RN, CFNP

NPI Number Detail

NPI Number 1396764981
Provider Enumeration Date 2006-07-18
Last Updated Date 2021-09-22

Provider Mailing Address Detail

Address 1128 Clarksville St
City Paris
State Texas (TX)
Post Code 754606060
Phone Number 9037854362
Fax Number 9037829365

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 562744
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
144831802 GROUP TEXAS HEALTH STEPS
500021734 TX INDIVIDUAL RAILROAD MC
88N512 TX INDIVIDUAL BLUE CROSS
112250904 TX --

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FAQs about Kendra Deann Proctor

What is the unique provider identifier assigned to Kendra Deann Proctor?

The Kendra Deann Proctor has been issued the NPI (National Provider Identifier) 1396764981 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Kendra Deann Proctor's facilities are situated?

The facilities of Kendra Deann Proctor are physically located at the following address: 1128 Clarksville St, Paris, TX, 754606060.

What is the area of specialization for Kendra Deann Proctor, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Kendra Deann Proctor is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of expertise is 363L00000X.

On what date did the Kendra Deann Proctor receive its 1396764981 assignment from the Centers for Medicare & Medicaid Services?

The Kendra Deann Proctor was assigned its 1396764981 by the Centers for Medicare & Medicaid Services on 2006-07-18.

As of what date were the details related to Kendra Deann Proctor most recently updated or revised?

The information pertaining to Kendra Deann Proctor, including its address, specialty, and other relevant details, was last updated or revised on 2021-09-22.

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