Provider Demographics
NPI:1366927626
Name:BEST, DEIDRA HENDERSON (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:DEIDRA
Middle Name:HENDERSON
Last Name:BEST
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:DEIDRA
Other - Middle Name:DIANNE
Other - Last Name:PARTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:425 COUNTY ROAD 2321
Mailing Address - Street 2:
Mailing Address - City:NACOGDOCHES
Mailing Address - State:TX
Mailing Address - Zip Code:75961-8730
Mailing Address - Country:US
Mailing Address - Phone:936-554-5823
Mailing Address - Fax:
Practice Address - Street 1:4800 NE STALLINGS DR
Practice Address - Street 2:
Practice Address - City:NACOGDOCHES
Practice Address - State:TX
Practice Address - Zip Code:75965-1249
Practice Address - Country:US
Practice Address - Phone:936-559-0700
Practice Address - Fax:936-559-0700
Is Sole Proprietor?:No
Enumeration Date:2018-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP139032363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily