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Individual

GWENDONEAN HORNBEAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP, WHNP, PMHNP

Contact information

Practice address
1307 RIDGE RD STE 101, ROCKWALL, TX 75087-4301
(253) 753-0026
Mailing address
723 NEW ZION RD, WINNSBORO, LA 71295-5731

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
138530
IA
163W00000X
Registered Nurse
RN145284
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
204618
LA
363LW0102X
Women's Health Nurse Practitioner
204618
LA
363LW0102X
Women's Health Nurse Practitioner
AP143679
TX

Other

Enumeration date
09/23/2015
Last updated
12/21/2023
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