Provider Demographics
NPI:1134436983
Name:DENSON, DOLLY REBECCA (RN, MSN, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:DOLLY
Middle Name:REBECCA
Last Name:DENSON
Suffix:
Gender:F
Credentials:RN, MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2295 STUART RD
Mailing Address - Street 2:
Mailing Address - City:ADKINS
Mailing Address - State:TX
Mailing Address - Zip Code:78101-4549
Mailing Address - Country:US
Mailing Address - Phone:210-722-3684
Mailing Address - Fax:
Practice Address - Street 1:2295 STUART RD
Practice Address - Street 2:
Practice Address - City:ADKINS
Practice Address - State:TX
Practice Address - Zip Code:78101-4549
Practice Address - Country:US
Practice Address - Phone:804-893-0890
Practice Address - Fax:210-899-1065
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-31
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0001755363LF0000X
NJ26NJ01278900363LF0000X
MTAPRN-193326363LF0000X
NDR52028363LF0000X
WY49403363LF0000X
NM67206363LF0000X
SDCP002341363LF0000X
AZ267129363LF0000X
PANPPA050655363LF0000X
AK191063363LF0000X
UT12625816-4405363LF0000X
PASP025311363LF0000X
ID72038363LF0000X
NE114094363LF0000X
TX676398363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX220109702OtherCSHCN
TX220109701Medicaid
TX220109702OtherCSHCN