Individual
JACQUELYN RAPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2850 TX-114, TROPHY CLUB, TX 76262
(817) 837-4600
Mailing address
2924 HOLLOW VALLEY DR, FORT WORTH, TX 76244-5531
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
1044682
TX
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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