Individual
JESSE JUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 8TH AVE, FORT WORTH, TX 76104-3902
(817) 336-2100
Mailing address
900 8TH AVE, FORTH WORTH, TX 76104-4417
(940) 595-9899
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1160134
TX
Other
Enumeration date
05/14/2024
Last updated
05/15/2024
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