Individual
JACQUELINE MOSONYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
1325 PENNSYLVANIA AVE STE 890, FORT WORTH, TX 76104-2145
(817) 250-7230
Mailing address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
1046227
TX
363L00000X
Nurse Practitioner
1046227
TX
363LA2100X
Acute Care Nurse Practitioner
1046227
TX
Other
Enumeration date
07/21/2021
Last updated
01/10/2025
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