Healthcare Provider Details

I. General information

NPI: 1124733902
Provider Name (Legal Business Name): ABIGAIL LAMPIN BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2023
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 UNIVERSITY BLVD
TYLER TX
75799-5609
US

IV. Provider business mailing address

3900 UNIVERSITY BLVD
TYLER TX
75799-5609
US

V. Phone/Fax

Practice location:
  • Phone: 903-566-7000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1010949
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1010949
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1010949
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: