Individual
ALISA RENEE MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4132 DUNCAN WAY, FORT WORTH, TX 76244-6011
(901) 277-1995
Mailing address
4132 DUNCAN WAY, FORT WORTH, TX 76244-6011
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
899862
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1216534
TX
Other
Enumeration date
10/03/2025
Last updated
10/29/2025
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