Individual
AMIE JAYDE CALHOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1201 FAIRMOUNT AVE, FORT WORTH, TX 76104-4215
(817) 335-5288
(817) 338-0927
Mailing address
1201 FAIRMOUNT AVE, FORT WORTH, TX 76104-4215
(817) 335-5288
(817) 338-0927
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
959532
TX
363L00000X
Nurse Practitioner
Primary
1206991
TX
363LA2100X
Acute Care Nurse Practitioner
1206991
TX
363LF0000X
Family Nurse Practitioner
1206991
TX
Other
Enumeration date
05/19/2025
Last updated
07/22/2025
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