person
Mrs. Dana Jean Leatherwood, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Fort Worth, Texas
NPI 1023203726

Dana Jean Leatherwood is a Psychiatric/Mental Health Nurse Practitioner based in Fort Worth, TX and is specialized in Psychiatric/Mental Health. Dana Jean Leatherwood practices in Fort Worth, TX and has the professional credentials of PMHNP. The NPI Number for Dana Jean Leatherwood is 1023203726 and holds a License No. 547178 (Texas).

The current practice location address for Dana Jean Leatherwood is 1301 Pennsylvania Ave, Fort Worth, TX and can be reached out via phone at 817-250-2084. You can also correspond with Dana Jean Leatherwood through the mailing address at 1301 PENNSYLVANIA AVE, FORT WORTH, TX - 76104-2122 (mailing address contact number: 817-250-2084).

Location: 1301 Pennsylvania Ave, Fort Worth, TX, 76104-2122
person
Provider Profile Details
NPI Number
1023203726
Provider Name
Dana Jean Leatherwood
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
1301 Pennsylvania Ave, Fort Worth, TX, 76104-2122
Phone Number
817-250-2084
Fax Number
Provider Enumeration Date
09/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8Y3083 01 TX BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1301 Pennsylvania Ave
City
State
Zip
76104-2122
Phone Number
817-250-2084
Fax Number
person
Provider Business Mailing Address Details
Address
1301 Pennsylvania Ave
City
State
Zip
76104-2122
Phone Number
817-250-2084
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
547178 (Texas)
Definition
Definition to come...
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