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Tiffany Ketzle is one of 490 nurse practitioners practicing in Plano, Texas .
Tiffany Ketzle practices with Neurosurgical Associates Of North Texas PLLC.
Registry record (NPPES)
NPI
1982719837
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner · 363L00000X
Address on file
6513 Preston Rd Plano, TX 75024-2688 (972) 608-2025
Enumerated
Aug 20, 2006
Record last updated
Jan 4, 2022
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
3901 W 15th St
Plano , TX 75075
(972) 596-6800
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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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