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Individual

MRS. TAMEKIA DENISE SCAGGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP-BC

Contact information

Practice address
3840 HULEN ST, FORT WORTH, TX 76107-7277
(817) 335-3022
Mailing address
PO BOX 2603, FORT WORTH, TX 76113-2603
(817) 569-4300

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
664659
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP139686
TX
363LW0102X
Women's Health Nurse Practitioner
AP139686
TX

Other

Enumeration date
11/15/2018
Last updated
02/25/2021
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