# JOANNA AHOUNOU PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326475153
- **Authorized official:** JOANNA AHOUNOU PMHNP (NURSE PRACTITIONER)
- **Authorized official phone:** (817) 896-3547

## Contact information

- **Practice address:** 3109 6TH AVE, SUITE B, FT WORTH, TX 76110-3800
- **Practice address phone:** (682) 312-7339
- **Mailing address:** PO BOX 54455, HURST, TX 76054-4455
- **Mailing address phone:** (817) 896-3547

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 692426 | TX | Yes |

## Other

- **Enumeration date:** 10/12/2013
- **Last updated:** 12/11/2015