Provider Demographics
NPI:1972846137
Name:OPPERMAN, NANCY LYNNE (FNP)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:LYNNE
Last Name:OPPERMAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8750 N CENTRAL EXPY
Mailing Address - Street 2:SUITE 1750
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-6436
Mailing Address - Country:US
Mailing Address - Phone:888-600-6474
Mailing Address - Fax:
Practice Address - Street 1:8750 N CENTRAL EXPY
Practice Address - Street 2:SUITE 1750
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-6436
Practice Address - Country:US
Practice Address - Phone:888-600-6474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-05
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX732032363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily