Individual
MERCY NGEUSANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5440 TUXBURY POND DR, FORT WORTH, TX 76179-1489
(240) 605-4672
Mailing address
5440 TUXBURY POND DR, FORT WORTH, TX 76179-1489
(240) 605-4672
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AP145902
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP145902
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP145902
TEXAS BOARD OF NURSING
TX
Enumeration date
06/12/2020
Last updated
09/12/2022
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