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East Lake Medical, Pllc
Nurse Practitioner in Tyler, Texas
NPI 1497494777

East Lake Medical, Pllc is a Nurse Practitioner based in Tyler, TX. East Lake Medical, Pllc practices in Tyler, TX. The NPI Number for East Lake Medical, Pllc is 1497494777 and holds a License No. (Texas).

The current practice location address for East Lake Medical, Pllc is 11980 State Highway 64 E Ste G, Tyler, TX and can be reached out via phone at 903-650-8619 and via fax at 903-650-8576.

Location: 11980 State Highway 64 E Ste G, Tyler, TX, 75707-2541
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497494777
Provider Name
East Lake Medical, Pllc
Credential
Provider Entity Type
Organization
Address
11980 State Highway 64 E Ste G, Tyler, TX, 75707-2541
Phone Number
903-650-8619
Fax Number
903-650-8576
Provider Enumeration Date
06/03/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
11980 State Highway 64 E Ste G
City
Tyler
State
Texas
Zip
75707-2541
Phone Number
903-650-8619
Fax Number
903-650-8576
person
Provider Business Mailing Address Details
Address
11980 State Highway 64 E Ste G
City
Tyler
State
Texas
Zip
75707-2541
Phone Number
903-650-8619
Fax Number
903-650-8576
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
()
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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