Provider Demographics
NPI:1194492439
Name:VERNOR, LORIE ANNE (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:LORIE
Middle Name:ANNE
Last Name:VERNOR
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 W FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:GOLIAD
Mailing Address - State:TX
Mailing Address - Zip Code:77963-4281
Mailing Address - Country:US
Mailing Address - Phone:361-645-8235
Mailing Address - Fax:361-645-3282
Practice Address - Street 1:139 W FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:GOLIAD
Practice Address - State:TX
Practice Address - Zip Code:77963-4281
Practice Address - Country:US
Practice Address - Phone:361-645-8235
Practice Address - Fax:361-645-3282
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-25
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1051119363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily