Tessa Thibodeaux
Nurse Practitioner - Critical Care Medicine
3901 W 15th St
Plano
, Texas 75075-7738
Tessa Thibodeaux
Nurse Practitioner - Critical Care Medicine
3901 W 15th St
Plano
, Texas 75075-7738
(903) 352-3070
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About
Features
Specialties
- Nurse Practitioner - Critical Care Medicine
Languages spoken
- English
Location
First Address
- Tessa Thibodeaux
- 101 Valley View Ln
- Jacksonville, TX
- Zip : 75766-5854
- Phone : (903) 352-3070
Second Address
- Tessa Thibodeaux
- 3901 W 15th St
- Plano, TX
- Zip : 75075-7738
- Phone : (972) 596-6800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | AP144923 | TX |
National Provider Identifier
| NPI | 1568071108 |
|---|---|
| Provider Name | Tessa Thibodeaux |
| First Address | Jacksonville, TX 75766-5854 |
| Second Address | Plano, TX 75075-7738 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/07/2020 |
| Last Update Date | 29/07/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.