Provider Demographics
NPI:1689870438
Name:ABSHIER, DEENA ILEEN (FNP)
Entity type:Individual
Prefix:
First Name:DEENA
Middle Name:ILEEN
Last Name:ABSHIER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:DEENA
Other - Middle Name:ILEEN
Other - Last Name:PREVOST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:11357 IH 10
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77705-7057
Mailing Address - Country:US
Mailing Address - Phone:409-794-5253
Mailing Address - Fax:409-794-5207
Practice Address - Street 1:11357 IH 10
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77705
Practice Address - Country:US
Practice Address - Phone:409-794-5253
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX561587363LF0000X
TXAP115834363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily