Organization · Type 2 NPI

Legacy Developmental Pediatrics, PLLC

Nurse Practitioner · Lubbock, TX

NPI number 1295596096 Active

Practice location

2505 79th St Ste B
Lubbock, TX 79423-2211

Fax (806) 300-8223

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone 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…

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About NPI 1295596096

Legacy Developmental Pediatrics, PLLC's National Provider Identifier is 1295596096, issued on Jan 18, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lubbock, TX. The record was last updated on Apr 16, 2025.