Individual provider · Type 1 NPI

Nisha Thekkedam, N.P.

Nurse Practitioner · Dallas, TX

NPI number 1114350774 Active

Practice location

5323 Harry Hines Blvd
Dallas, TX 75390-7201

Fax (214) 645-2808

Mailing address

PO Box 845347
Dallas, TX 75284-5347

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X841763 (TX)
Nurse Practitioner Primary 363L00000X841763 (TX)

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…

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About NPI 1114350774

Nisha Thekkedam, N.P.'s National Provider Identifier is 1114350774, issued on Aug 17, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Dallas, TX. The record was last updated on Jan 29, 2014.