Provider Demographics
NPI:1982806709
Name:KNIGHT, TAMECKA (DNP, CPNP)
Entity Type:Individual
Prefix:DR
First Name:TAMECKA
Middle Name:
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:DNP, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 LANTERN BEND DR STE 235
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-2835
Mailing Address - Country:US
Mailing Address - Phone:281-979-2112
Mailing Address - Fax:281-884-3558
Practice Address - Street 1:411 LANTERN BEND DR STE 235
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2835
Practice Address - Country:US
Practice Address - Phone:281-979-2112
Practice Address - Fax:281-884-3558
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP119920363LP0200X
TX790708363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2854135-02Medicaid