Provider Demographics
NPI:1952524845
Name:DENEUI, TERRI JENAI (ACNP)
Entity type:Individual
Prefix:MRS
First Name:TERRI
Middle Name:JENAI
Last Name:DENEUI
Suffix:
Gender:F
Credentials:ACNP
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:620 N KIMBALL AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-6855
Mailing Address - Country:US
Mailing Address - Phone:817-328-8376
Mailing Address - Fax:817-328-8379
Practice Address - Street 1:620 N KIMBALL AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092
Practice Address - Country:US
Practice Address - Phone:817-328-8376
Practice Address - Fax:817-328-8379
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX637677363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care