Provider Type Icon

CARISSA MAE DUDLEY PNP-PC NPI 1437934106


NPI Information

NPI: 1437934106
Provider Name: CARISSA MAE DUDLEY, PNP-PC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
230 E SYCAMORE ST STE 100
SHERMAN, TX
ZIP 75090
Phone: (903) 202-2900
Get Directions

Carissa Mae Dudley, PNP-PC is a pediatrics nurse practitioner in Sherman, TX. Carissa Mae Dudley, PNP-PC NPI is 1437934106. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

230 E SYCAMORE ST STE 100
SHERMAN, TX
ZIP 75090-012
Phone: (903) 202-2900

The enumeration date for this NPI number is 8/30/2023 and was last updated on 8/30/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatrics1087024TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.