Individual
MS. KIARA PACKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
211 RICHMOND CT, COPPELL, TX 75019-6229
(801) 694-3456
Mailing address
5461 MERIDIAN MARK RD STE 400, ATLANTA, GA 30342-3283
(404) 785-1112
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1166018
TX
Other
Enumeration date
12/06/2021
Last updated
05/22/2025
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