Individual
NANCY ANNE DOUBLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(682) 885-6400
(682) 885-6101
Mailing address
PO BOX 99731, FORT WORTH, TX 76199-0371
(682) 885-1855
(682) 885-7347
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
238666
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
238666
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
285130501
—
TX
01
—
285130502
CSHCN
TX
Enumeration date
10/03/2006
Last updated
04/19/2016
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