Individual
NANCY D DOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2555 JIMMY JOHNSON BLVD, PORT ARTHUR, TX 77640-2007
(409) 724-7389
Mailing address
PO BOX 8730, FORT WORTH, TX 76124-0730
(817) 451-4208
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
256969
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8N8585
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/10/2006
Last updated
07/08/2007
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