Provider Demographics
NPI:1982756649
Name:CONNER, DENISE LONG (RN FNP WHNP)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:LONG
Last Name:CONNER
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Gender:F
Credentials:RN FNP WHNP
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Mailing Address - Street 1:7424 GREENVILLE AVE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4534
Mailing Address - Country:US
Mailing Address - Phone:214-363-2004
Mailing Address - Fax:214-696-2091
Practice Address - Street 1:7424 GREENVILLE AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4534
Practice Address - Country:US
Practice Address - Phone:214-363-2004
Practice Address - Fax:214-696-2091
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXTX227649363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health