Individual
MRS. GIBSON ANN HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, AGPCNP-BC
Contact information
Practice address
4115 E LANCASTER AVE, FORT WORTH, TX 76103-3614
(817) 796-7370
(817) 764-0714
Mailing address
PO BOX 746079, ATLANTA, GA 30374-6079
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP135290
TX
Other
Enumeration date
10/19/2017
Last updated
06/30/2022
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