Individual provider · Type 1 NPI

Kellum Robert Tice, NP

Nurse Practitioner · Cypress, TX

NPI number 1295098085 Active

Practice location

21214 Northwest Fwy
Cypress, TX 77429-3373

Mailing address

9301 S Western Ave
Oklahoma City, OK 73139-2767

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X730287 (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 1295098085

Kellum Robert Tice, NP's National Provider Identifier is 1295098085, issued on Jun 18, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Cypress, TX. The record was last updated on Jun 19, 2012.