Individual
KIMBERLY DAWN MATCHETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
412 MYSTIC RIVER TRL, FORT WORTH, TX 76131-4553
(208) 640-6183
Mailing address
412 MYSTIC RIVER TRL, FORT WORTH, TX 76131-4553
(208) 640-6183
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1099196
TX
Other
Enumeration date
11/16/2022
Last updated
11/17/2022
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