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NPI Code Detail

MEDICARE: MS. KARYN PETTY RN AGACNP

MEDICARE: MS. KARYN PETTY RN AGACNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2100XAcute Care Nurse PractitionerAP132644TX
2363L00000XNurse PractitionerAP132644TX

General Provider Information

NPI Number : 1831632868
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KARYN PETTY RN AGACNP
Provider Business Mailing Address
First Line : 9330 LBJ FWY STE 800
Second Line :
City : DALLAS
State : TX
Zip : 75243-4310
Country : US
Telephone Number : 972-792-5700
Fax Number : 214-506-1170
Provider Business Practice Location Address
First Line : 12720 HILLCREST RD STE 300
Second Line :
City : DALLAS
State : TX
Zip : 75230-2089
Country : US
Telephone Number : 214-814-1550
Fax Number : 214-814-1350
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2016
Last Update Date : 02/16/2026

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