Individual provider · Type 1 NPI
Tabitha Viola Brock, CPNP
Nurse Practitioner · Dallas, TX
Practice location
7777 Forest Ln Ste C840
Dallas, TX 75230-2594
Mailing address
7545 E Northwest Hwy Apt 103
Dallas, TX 75238-4202
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | AP126991 (TX) |
| Pediatric Nurse Practitioner | 363LP0200X | AP126991 (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 1396135018
Tabitha Viola Brock, CPNP's National Provider Identifier is 1396135018, issued on Feb 2, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Dallas, TX. The record was last updated on Mar 23, 2026.