Individual
NICOLE DORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 TEXAS AVE S, COLLEGE STATION, TX 77840-5079
(979) 216-3679
Mailing address
2501 TEXAS AVE S, COLLEGE STATION, TX 77840-5079
(979) 216-3679
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1073424
TX
Other
Enumeration date
03/30/2022
Last updated
04/06/2022
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