Derinda Dee Upton, FNP-BC
Nurse Practitioner, Family in Dallas, TX. Individual provider (NPI-1).
NPI number1205262011
StatusActive
Last updated in NPPESOct 20, 2021
Details
- NPI
- 1205262011
- Entity type
- Individual (NPI-1)
- Name
- Derinda Dee Upton
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 25, 2013
- Certification date
- Oct 20, 2021
- Last updated
- Oct 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APN17647 | TN | Yes |
| 363LX0106X | Nurse Practitioner, Occupational Health | 17647 | TN |
Practice location
4055 Valley View Ln Ste 400Dallas, TX 75244-5071
Phone 865-227-0244
Mailing address
4055 Valley View Ln Ste 400Dallas, TX 75244-5071
Phone 865-227-0244
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