Individual
NENA R. IVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4604 NE STALLINGS DR, NACOGDOCHES, TX 75965-1608
(936) 559-8770
(936) 559-8773
Mailing address
4800 NE STALLINGS DR, STE 109, NACOGDOCHES, TX 75965-1250
(936) 559-8770
(936) 559-8773
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
PA05023
TX
Other
Enumeration date
10/26/2006
Last updated
03/13/2025
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