Individual
DANIELLE ELANA GIPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3840 HULEN ST, FORT WORTH, TX 76107-7277
(214) 569-4300
Mailing address
3840 HULEN ST, FORT WORTH, TX 76107-7277
(214) 546-2087
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP138669
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AP138669
—
TX
Enumeration date
08/16/2018
Last updated
11/28/2018
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