Individual
MRS. AMY MICHELLE DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN-FNP
Contact information
Practice address
520 DOUGLAS BLVD, TYLER, TX 75702-8307
(903) 606-1721
Mailing address
520 DOUGLAS BLVD, TYLER, TX 75702-8307
(903) 606-7034
(903) 606-7279
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
661677
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
327870701
—
TX
Enumeration date
08/22/2013
Last updated
02/03/2025
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