Provider Demographics
NPI:1497422786
Name:RICHARD, FALON (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:FALON
Middle Name:
Last Name:RICHARD
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:MRS
Other - First Name:FALON
Other - Middle Name:
Other - Last Name:DUPRIE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN, AGPCNP-BC
Mailing Address - Street 1:2440 DIAMOND D DR
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77713-5003
Mailing Address - Country:US
Mailing Address - Phone:409-670-8184
Mailing Address - Fax:
Practice Address - Street 1:3555 STAGG DR
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-4509
Practice Address - Country:US
Practice Address - Phone:409-212-5922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-25
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1052218363LG0600X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine