MS. CAROLYN JEAN TANKERSLEY NP NPI 1760784631

NPI Information

NPI: 1760784631
Provider Name: MS. CAROLYN JEAN TANKERSLEY, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
5323 HARRY HINES BOULEVARD
DALLAS, TX
ZIP 75390
Phone: (214) 648-3916
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MS. Carolyn Jean Tankersley, NP is a family nurse practitioner in Dallas, TX. MS. Carolyn Jean Tankersley, NP NPI is 1760784631. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5323 HARRY HINES BOULEVARD
DALLAS, TX
ZIP 75390-208
Phone: (214) 648-3916
Fax: (214) 648-3916

The NPI 1760784631 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/29/2010 and was last updated on 9/17/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	596794	TEXAS	No
2	363LF0000X	Nurse Practitioner	Family	AP119530	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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