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Organization

IN HOME NURSE PRACTITIONERS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMEISHA JASHON SCOTT RN, MSN, FNP-C (FAMILY NURSE PRACTITIONER)
(817) 706-8415
Entity
Organization

Contact information

Practice address
4300 PECOS ST, FORT WORTH, TX 76119-5162
(817) 706-8415
Mailing address
PO BOX 19096, FORT WORTH, TX 76119-1096
(817) 706-8415

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
704199
TX

Other

Enumeration date
03/20/2014
Last updated
03/20/2014
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