LORI PETTIGREW MSN, APRN, FNP-C
NPI 1619738721
Nurse Practitioner - Family in Copperas Cove, TX
Active since January 17, 2024
About Lori Pettigrew Msn, Aprn, Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LORI PETTIGREW MSN, APRN, FNP-C (NPI 1619738721) is an individual family provider in Copperas Cove, Texas, licensed in Texas (1107080) and active in the NPI registry since January 2024.
NPPES Registry Identity
NPI1619738721
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLORI PETTIGREWCredential: MSN, APRN, FNP-C
Location Address483 COUNTY ROAD 4878Copperas Cove, TX 76522-6253
Mailing Address483 County Road 4878Copperas Cove, TX 76522-6253 · (254) 247-8232
Phone(254) 247-8232
Sole ProprietorYes
Enumeration DateJanuary 17, 2024
NPPES CertifiedJanuary 17, 2024
✔ NPI 1619738721 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 1107080
483 COUNTY ROAD 4878, Copperas Cove, TX 76522
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619738721, enumerated as an "individual" on January 17, 2024.
The provider is located at 483 COUNTY ROAD 4878 COPPERAS COVE, TX 76522 and the phone number is (254) 247-8232.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.