Individual provider · Type 1 NPI

Kathy Lynn Nesselrode, A-GNP

Nurse Practitioner · Winnsboro, TX

NPI number 1689269748 Active

Practice location

209 E Broadway St
Winnsboro, TX 75494-2604

Fax (903) 342-3350

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X1029235 (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 1689269748

Kathy Lynn Nesselrode, A-GNP's National Provider Identifier is 1689269748, issued on Mar 1, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Winnsboro, TX. The record was last updated on Mar 3, 2025.