Provider Demographics
NPI:1720251085
Name:DOBBS, TAMARAE A (FNP-C)
Entity Type:Individual
Prefix:
First Name:TAMARAE
Middle Name:A
Last Name:DOBBS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:834 W HIGHWAY 82 STE 102
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76240-2533
Mailing Address - Country:US
Mailing Address - Phone:940-294-7302
Mailing Address - Fax:940-294-7354
Practice Address - Street 1:834 W HIGHWAY 82 STE 102
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:TX
Practice Address - Zip Code:76240-2533
Practice Address - Country:US
Practice Address - Phone:940-294-7302
Practice Address - Fax:940-294-7354
Is Sole Proprietor?:No
Enumeration Date:2008-04-08
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX693151363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2V0964Medicaid
ND19923Medicaid