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William Alex Nicodemus, FNP-C
Family Nurse Practitioner in Palestine, Texas
NPI 1427565068

William Alex Nicodemus is a Family Nurse Practitioner based in Canton, TX and is specialized in Family. William Alex Nicodemus practices in Palestine, TX and has the professional credentials of FNP-C. The NPI Number for William Alex Nicodemus is 1427565068 and holds a License No. AP135915 (Texas).

The current practice location address for William Alex Nicodemus is 2900 S Loop 256, Palestine, TX and can be reached out via phone at 903-731-1134.

Location: 2900 S Loop 256, Palestine, TX, 75103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427565068
Provider Name
William Alex Nicodemus
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
2900 S Loop 256, Palestine, TX, 75103
Phone Number
903-731-1134
Fax Number
Provider Enumeration Date
01/04/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2900 S Loop 256
City
Palestine
State
Texas
Zip
75801-6958
Phone Number
903-731-1134
Fax Number
person
Provider Business Mailing Address Details
Address
2900 S Loop 256
City
Palestine
State
Texas
Zip
75801-6958
Phone Number
903-731-1134
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP135915 (Texas)
Definition
Definition to come...
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