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Kandiss Hearn is one of 637 nurse practitioners practicing in Tyler, Texas .
Kandiss Hearn practices with Dermatology Of East Texas PA and Wallis Dermatology Associates PLLC.
Registry record (NPPES)
NPI
1336774405
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner · 363L00000X
Address on file
2365 Three Lakes Pkwy Tyler, TX 75703 (903) 991-4569
Enumerated
Mar 9, 2020
Record last updated
Jan 6, 2026
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
909 E SE Loop 323 Suite 110
Tyler , TX 75701
909 Ese Loop323 Suite 110
Tyler , TX 75701
(903) 531-2850
3535 N 4th St Suite 400
Longview , TX 75605
(903) 757-3881
More nurse practitioners in Tyler
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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