Individual provider · Type 1 NPI
Theresa Juliette Talley, APN CPNP-AC
Pediatric Nurse Practitioner · Houston, TX
NPI number
1750895223
Active
Practice location
6410 Fannin St Ste 330
Houston, TX 77030-3004
Mailing address
835 Sugar Maple Forest St
Crosby, TX 77532-5633
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics Physician | 208000000X | 209.019646 (IL) |
| Pediatrics Physician | 208000000X | 18584 (TN) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 1175137 (TX) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1750895223
Theresa Juliette Talley, APN CPNP-AC's National Provider Identifier is 1750895223, issued on Nov 20, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Houston, TX. The record was last updated on Dec 12, 2024.