Individual
HELENA IANNACCONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ANP
Contact information
Practice address
800 W MAGNOLIA AVE, FORT WORTH, TX 76104-4611
(817) 759-7000
Mailing address
800 W MAGNOLIA AVE, FORT WORTH, TX 76104-4611
(817) 759-7000
(817) 759-7027
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
548944
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1708471-01
—
TX
05
—
1708471-03
—
TX
01
—
8N7581
BCBS
—
Enumeration date
05/12/2006
Last updated
12/28/2020
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