SALLY S MCMILLAN-DENGERUD NP
NPI 1952394512
Nurse Practitioner in Palestine, TX

Q: What is Sally Mcmillan-dengerud's NPI number?

The NPI number for Sally Mcmillan-dengerud is 1952394512. It was assigned to this individual provider in the NPPES registry on August 29, 2005.

Q: What is Sally Mcmillan-dengerud's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since August 29, 2005

2900 S LOOP 256, SUITE 100, PALESTINE, TX 75801(903) 723-8210(903) 723-8310 Get Directions Write a Review

NPPES record last updated: July 22, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Sally S Mcmillan-dengerud Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SALLY S MCMILLAN-DENGERUD NP (NPI 1952394512) is an individual nurse practitioner in Palestine, Texas, licensed in Texas (219839) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1952394512

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSALLY S MCMILLAN-DENGERUDCredential: NP

Location Address2900 S LOOP 256, SUITE 100Palestine, TX 75801-6958

Mailing AddressPo Box 817Palestine, TX 75802-0817 · (903) 727-0110 · Fax (903) 727-0210

Phone(903) 723-8210

Fax(903) 723-8310

Sole ProprietorNo

Enumeration DateAugust 29, 2005

Last NPPES UpdateJuly 22, 2014

✔ NPI 1952394512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TX · 219839

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2900 S LOOP 256, Palestine, TX 75801

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Other Identifiers 1

Medicare UPINS51546TX

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEIDI CHRISTINE KNOWLES MD

Emergency Medicine