Organization · Type 2 NPI
Itasca Healing Medical Practice
Nurse Practitioner · Nacogdoches, TX
Practice location
223 King St
Nacogdoches, TX 75961-4421
Fax (936) 622-0554
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | None listed |
Nurse Practitioner: (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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
Another provider at this address
About NPI 1023867546
Itasca Healing Medical Practice's National Provider Identifier is 1023867546, issued on May 16, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Nacogdoches, TX. The record was last updated on Aug 5, 2026.