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Organization
NP CARE360 LLC
Active
Organization
NP CARE360 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE STOUTE (CREDENTIALING SPECIALIST)
(727) 289-6326
Entity
Organization
Contact information
Practice address
2621 PINCKNEY CT, FORNEY, TX 75126-4173
(469) 974-9993
Mailing address
2621 PINCKNEY CT, FORNEY, TX 75126-4173
(469) 974-9993
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/20/2021
Last updated
03/12/2022
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