Individual
JESSICA MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
801 7TH AVE, FORT WORTH, TX 76104-2733
(682) 885-3817
(682) 885-3825
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1860
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
AP139244
TX
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
AP139244
TX
Other
Enumeration date
11/16/2018
Last updated
04/30/2025
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