Individual provider · Type 1 NPI
Kathleen Devera Tembrock, AC-CPNP, MSN, CCRN
Nurse Practitioner · Dallas, TX
Practice location
1935 Medical District Dr
Dallas, TX 75235-7701
Mailing address
3455 SW US Veterans Hospital Rd
Portland, OR 97239-3076
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 201709498RN (OR) |
| Nurse Practitioner Primary | 363L00000X | 1021237 (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 1376191312
Kathleen Devera Tembrock, AC-CPNP, MSN, CCRN's National Provider Identifier is 1376191312, issued on Sep 3, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Dallas, TX. The record was last updated on Jan 24, 2022.