Individual
NEENA OOMMEN PANICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11937 US HIGHWAY 271, TYLER, TX 75708-3154
(903) 877-7200
Mailing address
11937 US HIGHWAY 271, TYLER, TX 75708-3154
(903) 877-7200
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
1106689
TX
363LA2200X
Adult Health Nurse Practitioner
APRN11039998
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
1106689
TX
363LG0600X
Gerontology Nurse Practitioner
APRN11039998
FL
363LP2300X
Primary Care Nurse Practitioner
1106689
TX
363LP2300X
Primary Care Nurse Practitioner
APRN11039998
FL
Other
Enumeration date
08/07/2025
Last updated
10/01/2025
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