Provider Demographics
NPI:1467966374
Name:HERRING, NINA GRENA (FNP-C, PMHNP-B)
Entity type:Individual
Prefix:
First Name:NINA
Middle Name:GRENA
Last Name:HERRING
Suffix:
Gender:
Credentials:FNP-C, PMHNP-B
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3919 DAWN RISE CT
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:TX
Mailing Address - Zip Code:77545-7013
Mailing Address - Country:US
Mailing Address - Phone:281-687-8612
Mailing Address - Fax:
Practice Address - Street 1:3401 PADRE BLVD STE A
Practice Address - Street 2:
Practice Address - City:SOUTH PADRE ISLAND
Practice Address - State:TX
Practice Address - Zip Code:78597-7125
Practice Address - Country:US
Practice Address - Phone:956-365-1515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-30
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP135902363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX10627657OtherTEXAS DRIVER'S LICENSE