Provider Demographics
NPI:1689135808
Name:ZELEDON, KATHLEEN ELAINE (DNP, APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:ELAINE
Last Name:ZELEDON
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-BC
Other - Prefix:
Other - First Name:KATHLEEN
Other - Middle Name:ELAINE
Other - Last Name:SEESENGOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, RN
Mailing Address - Street 1:12377 MERIT DR STE 300
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75251-3126
Mailing Address - Country:US
Mailing Address - Phone:972-957-3000
Mailing Address - Fax:972-957-3005
Practice Address - Street 1:7939 PAT BOOKER RD STE 130
Practice Address - Street 2:
Practice Address - City:LIVE OAK
Practice Address - State:TX
Practice Address - Zip Code:78233-2777
Practice Address - Country:US
Practice Address - Phone:210-998-2410
Practice Address - Fax:210-998-2430
Is Sole Proprietor?:No
Enumeration Date:2019-03-29
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP141178363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily