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Individual

CHRISTY B STEWART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN,MSN,FNP-BC

Contact information

Practice address
3455 LOCKE AVE, SUITE 210, FORT WORTH, TX 76107-5719
(817) 529-6200
(817) 377-5229
Mailing address
1308 PALUXY RD STE 205, GRANBURY, TX 76048-5689
(817) 759-7000
(817) 759-7027

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
722939
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2012023045
ANCC CERTIFICATION
TX
01
722939
RN LICENSE #
TX
Enumeration date
10/31/2012
Last updated
02/09/2021
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