Individual
HATTIE HOSKINS NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
637 SAMUELS AVE APT 4019, FORT WORTH, TX 76102-1452
(662) 379-7131
Mailing address
637 SAMUELS AVE APT 4019, FORT WORTH, TX 76102-1452
(662) 379-7131
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1014923
TX
363LF0000X
Family Nurse Practitioner
1014923
TX
Other
Enumeration date
07/05/2020
Last updated
03/22/2024
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