Provider Demographics
NPI:1629547898
Name:HARPER, TERESA DAWN (PMHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:DAWN
Last Name:HARPER
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:TERESA
Other - Middle Name:DAWN
Other - Last Name:HERRING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PMHNP
Mailing Address - Street 1:311 CAMDEN ST.
Mailing Address - Street 2:SUITE 510
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78215
Mailing Address - Country:US
Mailing Address - Phone:210-591-1615
Mailing Address - Fax:210-591-1635
Practice Address - Street 1:311 CAMDEN ST.
Practice Address - Street 2:SUITE 510
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78215
Practice Address - Country:US
Practice Address - Phone:210-591-1615
Practice Address - Fax:210-591-1635
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-17
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP139551363LP0808X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty