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Dr. Tawanda Nitchelle Bostic, FNP-BC/PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Fort Worth, Texas
NPI 1154576197

Tawanda Nitchelle Bostic is a Psychiatric/Mental Health Nurse Practitioner based in Charlotte, TX and is specialized in Psychiatric/Mental Health. Tawanda Nitchelle Bostic practices in Fort Worth, TX and has the professional credentials of FNP-BC/PMHNP-BC. The NPI Number for Tawanda Nitchelle Bostic is 1154576197 and holds a License No. 196483 (Texas).

The current practice location address for Tawanda Nitchelle Bostic is 6000 Western Pl, Fort Worth, TX and can be reached out via phone at 704-641-7475. You can also correspond with Tawanda Nitchelle Bostic through the mailing address at 9805 STATESVILLE RD STE 6331, CHARLOTTE, NC - 28269-7647 (mailing address contact number: 704-641-7475).

Location: 6000 Western Pl, Fort Worth, TX, 28269-7647
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Provider Profile Details
NPI Number
1154576197
Provider Name
Tawanda Nitchelle Bostic
Credential
FNP-BC/PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
6000 Western Pl, Fort Worth, TX, 28269-7647
Phone Number
704-641-7475
Fax Number
Provider Enumeration Date
11/18/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
196483 01 NC NCBON- RN LICENSE
2008006354 01 NC ANCC- FNP CERTIFICATION
2013020566 01 NC ANCC
APRN-LIC-127603 01 MT MONTANA APRN LICENSE
institution
Provider Business Practice Location Address Details
Address
6000 Western Pl
City
State
Zip
76107-4607
Phone Number
704-641-7475
Fax Number
person
Provider Business Mailing Address Details
Address
9805 Statesville Rd Ste 6331
City
State
Zip
28269-7647
Phone Number
704-641-7475
Fax Number
704-992-9546
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Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Medical-Surgical
Taxonomy
License No.
196483 (North Carolina)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
APRN-LIC-127603 (Montana)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
196483 (North Carolina)
Definition
Definition to come...
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