Provider Demographics
NPI:1306887815
Name:NESTOR, VANESSA ANN (MS, APRN, FNP-C)
Entity type:Individual
Prefix:MS
First Name:VANESSA
Middle Name:ANN
Last Name:NESTOR
Suffix:
Gender:F
Credentials:MS, 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 1:3600 GASTON AVE
Mailing Address - Street 2:SUITE 605
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-1800
Mailing Address - Country:US
Mailing Address - Phone:214-820-8690
Mailing Address - Fax:214-820-8691
Practice Address - Street 1:3600 GASTON AVE
Practice Address - Street 2:SUITE 605
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1800
Practice Address - Country:US
Practice Address - Phone:214-820-8690
Practice Address - Fax:214-820-8691
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX553619363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8Y8802OtherBCBS
TX018841903Medicaid
TX8D6738Medicare PIN
TX8L2765Medicare PIN
TX8Y8802OtherBCBS