Individual
JANICE LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
1521 COOPER ST, FORT WORTH, TX 76104-2711
(817) 347-9601
(817) 347-9602
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 885-3113
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
AP138673
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
AP138673
TX
Other
Enumeration date
02/05/2019
Last updated
06/17/2024
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