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Individual

DALLAS LEIGH UPCHURCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
1901 VETERANS MEMORIAL DR, TEMPLE, TX 76504-7451
(254) 778-4811
Mailing address
821 KENDRA DR, TEMPLE, TX 76502-5878
(706) 326-6088

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
10009760
OR
363L00000X
Nurse Practitioner
Primary
1073418
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10009760
OR

Other

Enumeration date
10/30/2019
Last updated
03/23/2026
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