Provider Demographics
NPI:1598211658
Name:GEORGE, BLESSY DINEY (NP-C)
Entity Type:Individual
Prefix:
First Name:BLESSY
Middle Name:DINEY
Last Name:GEORGE
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8405 TERENCE DR
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75089-4871
Mailing Address - Country:US
Mailing Address - Phone:972-849-9931
Mailing Address - Fax:972-475-1943
Practice Address - Street 1:2241 PEGGY LN
Practice Address - Street 2:SUITE E
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-5732
Practice Address - Country:US
Practice Address - Phone:972-494-1155
Practice Address - Fax:972-494-6572
Is Sole Proprietor?:No
Enumeration Date:2016-08-29
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP131863363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily