Provider Demographics
NPI:1568854669
Name:TYNES, TERI ANN (PMHNP - BC)
Entity type:Individual
Prefix:
First Name:TERI
Middle Name:ANN
Last Name:TYNES
Suffix:
Gender:F
Credentials:PMHNP - BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8813 N TARRANT PKWY STE 218
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76182-8410
Mailing Address - Country:US
Mailing Address - Phone:940-487-9800
Mailing Address - Fax:
Practice Address - Street 1:8813 N TARRANT PKWY STE 218
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76182-8410
Practice Address - Country:US
Practice Address - Phone:940-487-9800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-26
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX928838163WP0808X
TX1070667363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health