Individual
MRS. JERLENE BONNER TIPPETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 BUNCH DR, FT WORTH, TX 76112
(817) 446-3662
(817) 446-3191
Mailing address
1701 BUNCH DR, FORT WORTH, TX 76112
(817) 446-3662
(817) 446-3191
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/04/2010
Last updated
03/08/2010
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