Individual
LEAH DILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 593-8441
Mailing address
19867 HIGHLAND PL, WHITEHOUSE, TX 75791-5759
(903) 229-7539
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1088325
TX
363LA2100X
Acute Care Nurse Practitioner
1088325
TX
Other
Enumeration date
08/09/2022
Last updated
10/06/2022
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