Organization
JOANNA AHOUNOU PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNA AHOUNOU PMHNP (NURSE PRACTITIONER)
(817) 896-3547
Entity
Organization
Contact information
Practice address
3109 6TH AVE, SUITE B, FT WORTH, TX 76110-3800
(682) 312-7339
Mailing address
PO BOX 54455, HURST, TX 76054-4455
(817) 896-3547
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
692426
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
333737001
—
TX
Enumeration date
10/12/2013
Last updated
12/11/2015
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