Individual
CARISSA MAE DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-PC
Contact information
Practice address
230 E SYCAMORE ST STE 100, SHERMAN, TX 75090-5012
(903) 202-2900
Mailing address
309 COVEY LN, MCKINNEY, TX 75071-0330
(214) 293-0874
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1087024
TX
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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