Individual
BRANDYCE TENNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
1101 S MAIN ST, FORT WORTH, TX 76104-4802
(817) 321-4768
Mailing address
1101 S MAIN ST, FORT WORTH, TX 76104-4802
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
813159
TX
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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