Individual
ESSENCE VERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
PO BOX 35012, FORT WORTH, TX 76162-5012
(682) 231-2884
Mailing address
PO BOX 35012, FORT WORTH, TX 76162-5012
(682) 231-2884
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1169307
TX
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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