Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathleen Devera Tembrock, AC-CPNP, MSN, CCRN

Individual provider Pediatric Registered Nurse · NPI 1376191312

Kathleen Devera Tembrock, AC-CPNP, MSN, CCRN is a Pediatric Registered Nurse in Dallas, Texas. Licensed in Oregon and Texas. Registered with an NPI since 2019.

Licensed in
OR, TX
In the registry since
2019
Specialties on file
2
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.

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Practice location Address checks out

1935 Medical District Dr
Dallas, TX 75235-7701
Phone: (214) 740-6177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 1021237 (TX)
Pediatric Registered Nurse Taxonomy 163WP0200X · Licence 201709498RN (OR)

Record details

NPI number1376191312
Entity typeIndividual (Type 1)
GenderFemale
Credentials AC-CPNP , MSN , CCRN
Sole proprietorNo
NPI enumeratedSeptember 3, 2019
Last updated in NPPESJanuary 24, 2022
Certification dateJanuary 24, 2022

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