Individual
MRS. JOANNA N AHOUNOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3109 6TH AVE, SUITE B, FT WORTH, TX 76110-3800
(682) 312-7339
Mailing address
PO BOX 54455, HURST, TX 76054-4455
(817) 679-0133
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
692426
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
315192004
—
TX
Enumeration date
10/24/2012
Last updated
12/12/2016
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