Individual provider · Type 1 NPI

Kenitra Newsom, CPNP-PC, RN

Pediatric Nurse Practitioner · Dallas, TX

NPI number 1962832303 Active

Practice location

1935 Medical District Dr
Dallas, TX 75235-7701

Call (214) 456-7343 Map

Mailing address

2350 N Stemmons Fwy
Dallas, TX 75207-2700

Specialties and licenses

Taxonomy	Code	License
Registered Nurse	163W00000X	850672 (TX)
Pediatric Nurse Practitioner Primary	363LP0200X	AP124711 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1962832303

Kenitra Newsom, CPNP-PC, RN's National Provider Identifier is 1962832303, issued on Nov 21, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Dallas, TX. The record was last updated on Jul 21, 2022.