Healthcare Provider Details

I. General information

NPI: 1851722151
Provider Name (Legal Business Name): DEJENA LHERISSON-HOWELL PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEJENA HOWELL PMHNP-BC

II. Dates (important events)

Enumeration Date: 12/11/2013
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 E PARK BLVD 901A
PLANO TX
75074-3139
US

IV. Provider business mailing address

712 YELLOWSTONE DR
ALLEN TX
75002-3647
US

V. Phone/Fax

Practice location:
  • Phone: 469-404-8426
  • Fax: 972-423-6013
Mailing address:
  • Phone: 469-682-5733
  • Fax: 214-935-8537

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1250047
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: