Individual
MANDALYNNE PEARCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP AC/PC
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-7000
Mailing address
500 WICHITA DR, NICHOLASVILLE, KY 40356-1480
(859) 494-7098
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP142161
TX
363LC0200X
Critical Care Medicine Nurse Practitioner
AP142161
TX
Other
Enumeration date
07/12/2019
Last updated
12/03/2021
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