Individual provider · Type 1 NPI

Tanganyika Lynn Dudley, APRN, AGACNP-BC

Nurse Practitioner · Paris, TX

NPI number 1962066688 Active

Practice location

1055 Clarksville St Ste 110
Paris, TX 75460-0210

Call (903) 785-3300 Map

Fax (903) 785-3310

Mailing address

1133 Medical Dr
Tyler, TX 75701-2130

Other practice locations

  • 103 Medical Cir Bldg 3, Sulphur Springs, TX 75482-2138 · (903) 785-3300
  • 1104 E Lincoln Rd, Idabel, OK 74745-7364 · (903) 785-3300

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAP140296 (TX)
Nurse Practitioner 363L00000X132422 (OK)

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 1962066688

Tanganyika Lynn Dudley, APRN, AGACNP-BC's National Provider Identifier is 1962066688, issued on Apr 29, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Paris, TX. The record was last updated on Mar 6, 2026.