Individual
MRS. BOBBIE JO DEWEESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-C
Contact information
Practice address
279 W HIDDEN CREEK PKWY STE 1209, BURLESON, TX 76028
(817) 629-2616
(817) 662-6255
Mailing address
279 W HIDDEN CREEK PKWY STE 1209, BURLESON, TX 76028-6077
(817) 629-2616
(817) 662-6255
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
830038
TX
363LF0000X
Family Nurse Practitioner
Primary
AP138096
TX
363LP2300X
Primary Care Nurse Practitioner
AP138096
TX
Other
Enumeration date
09/14/2018
Last updated
10/22/2019
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