Individual
JENNIFER VANDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
1300 W TERRELL AVE, FT WORTH, TX 76104-2820
(817) 250-4906
Mailing address
125 CAMOUFLAGE CIR, WILLOW PARK, TX 76008-1107
(817) 565-8907
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP143770
TX
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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