MEDICARE: LEEANN DAM FNP-C

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
1	363LF0000X	Family Nurse Practitioner	AP127295	TX

General Provider Information

NPI Number	:	1275924169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEEANN DAM FNP-C

Provider Business Mailing Address
First Line	:	1200 TREE SHADOW LN
Second Line	:
City	:	ANNA
State	:	TX
Zip	:	75409-1029
Country	:	US
Telephone Number	:	214-578-4976
Fax Number	:

Provider Business Practice Location Address
First Line	:	8144 WALNUT HILL LN STE 1350
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-4335
Country	:	US
Telephone Number	:	972-598-0000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2015
Last Update Date	:	05/13/2025

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Directions to “ LEEANN DAM FNP-C” Practice Location

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