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Individual

SALLIE KEY

Active
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Individual

SALLIE KEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN0000116942
TN
163WG0000X
General Practice Registered Nurse
RN152212
GA
363LF0000X
Family Nurse Practitioner
809329
TX
363LF0000X
Family Nurse Practitioner
APN0000007667
TN
363LF0000X
Family Nurse Practitioner
Primary
RN152212
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
311920801
—
TX
05
—
311920802
—
TX
05
—
3908789
—
TN
01
—
8EH586
BCBS
TX
01
—
P01446964
RR
TX
Enumeration date
01/22/2007
Last updated
02/27/2024
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