Provider Demographics
NPI:1215185087
Name:DOOLEY, DEBORAH L (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:L
Last Name:DOOLEY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:L
Other - Last Name:NELSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:509 S EXPRESSWAY 83
Mailing Address - Street 2:# B-2
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-5903
Mailing Address - Country:US
Mailing Address - Phone:956-504-3550
Mailing Address - Fax:956-734-9038
Practice Address - Street 1:509 S EXPRESSWAY 83
Practice Address - Street 2:# B-2
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-5903
Practice Address - Country:US
Practice Address - Phone:956-504-3550
Practice Address - Fax:956-734-9038
Is Sole Proprietor?:No
Enumeration Date:2008-09-04
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP117034363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX465133YLPSOtherWELLMED PTAN
TX287931402Medicaid