Individual
BETHANY NICOLE VERNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
2625 E SOUTHLAKE BLVD STE 160, SOUTHLAKE, TX 76092-8042
(817) 468-7200
(817) 468-7201
Mailing address
157 REDWOOD DR, HIGHLAND VILLAGE, TX 75077-6921
(361) 222-1711
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1194748
TX
Other
Enumeration date
05/26/2025
Last updated
05/26/2025
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