Individual
SHARON MAVIS ADUKWEI MYERS-TACKIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
6920 SARRIA, GRAND PRAIRIE, TX 75054-5548
(704) 779-3067
Mailing address
6920 SARRIA, GRAND PRAIRIE, TX 75054-5548
(704) 779-3067
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
1099779
TX
363LA2200X
Adult Health Nurse Practitioner
1099779
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
1099779
TX
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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