Pegan Doss, AGACNP-BC
Nurse Practitioner, Acute Care in Texarkana, TX. Individual provider (NPI-1).
NPI number1487316626
StatusActive
Last updated in NPPESOct 5, 2021
Details
- NPI
- 1487316626
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Pegan Doss
- Credential
- AGACNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 5, 2021
- Certification date
- Oct 5, 2021
- Last updated
- Oct 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | 1047419 | TX | Yes |
Practice location
2600 Saint Michael DrTexarkana, TX 75503-2372
Phone 903-614-1000
Mailing address
727 Yorktown CtLongview, TX 75601-4933
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