Individual
ASTY CARLETTE DUVERSONNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 OAK PARK LN, FORT WORTH, TX 76109-9534
(817) 985-7772
Mailing address
2735 SW 8TH ST APT 2, FORT LAUDERDALE, FL 33312-2142
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
APRN11013336
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN1171274
TX
Other
Enumeration date
07/26/2021
Last updated
01/14/2026
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