Individual provider · Type 1 NPI

Neena Oommen Panicker

Gerontology Nurse Practitioner · Tyler, TX

NPI number 1295610368 Active

Practice location

11937 US Highway 271
Tyler, TX 75708-3154

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner 363LP2300XAPRN11039998 (FL)
Gerontology Nurse Practitioner Primary 363LG0600X1106689 (TX)
Gerontology Nurse Practitioner 363LG0600XAPRN11039998 (FL)
Adult Health Nurse Practitioner 363LA2200XAPRN11039998 (FL)
Adult Health Nurse Practitioner 363LA2200X1106689 (TX)
Primary Care Nurse Practitioner 363LP2300X1106689 (TX)

Gerontology Nurse Practitioner: Definition to come...

452 other providers at this address

Other gerontology nurse practitioner providers in Tyler

See all in Tyler →

About NPI 1295610368

Neena Oommen Panicker's National Provider Identifier is 1295610368, issued on Aug 7, 2025. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Tyler, TX. The record was last updated on Oct 1, 2025.