Individual
ALESHA MARIE ALLSUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3200 RIVERFRONT DR STE 207, FORT WORTH, TX 76107-6534
(817) 882-6754
Mailing address
3200 RIVERFRONT DR STE 207, FORT WORTH, TX 76107-6534
(817) 882-6754
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1172657
TX
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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