Individual
MRS. FANTAMAFAYE NEVELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
539 W COMMERCE ST # 1822, DALLAS, TX 75208-1953
(225) 937-9588
Mailing address
6721 SUMMERS DR E APT 365, FORT WORTH, TX 76137-6574
(225) 439-9711
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1031421
TX
Other
Enumeration date
09/16/2024
Last updated
09/19/2024
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