Provider Demographics
NPI:1467298224
Name:TELFER, IVANA YASMEEN (FNP-C)
Entity type:Individual
Prefix:
First Name:IVANA
Middle Name:YASMEEN
Last Name:TELFER
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:979 DON FLOYD DRIVE
Mailing Address - Street 2:POB 1 SUITE 216
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065
Mailing Address - Country:US
Mailing Address - Phone:682-242-8880
Mailing Address - Fax:682-242-8886
Practice Address - Street 1:979 DON FLOYD DRIVE
Practice Address - Street 2:POB 1 SUITE 216
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065
Practice Address - Country:US
Practice Address - Phone:682-242-8880
Practice Address - Fax:682-242-8886
Is Sole Proprietor?:No
Enumeration Date:2024-07-02
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1165099363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner