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KERRY EMILY SANTA LUCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
2651 BOLTON BOONE DR, DESOTO, TX 75115-2011
(214) 358-2300
(214) 579-6990
Mailing address
1505 LBJ FWY STE 700, DALLAS, TX 75234-6065
(214) 358-2300
(214) 579-6941

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1113539
TX
363LA2100X
Acute Care Nurse Practitioner
1113539
TX

Other

Enumeration date
04/12/2023
Last updated
08/06/2025
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