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Bernice Fomunung
Psychiatric/Mental Health Nurse Practitioner in Frisco, Texas
NPI 1225679368

Bernice Fomunung is a Psychiatric/Mental Health Nurse Practitioner based in Frisco, TX and is specialized in Psychiatric/Mental Health. Bernice Fomunung practices in Frisco, TX. The NPI Number for Bernice Fomunung is 1225679368 and holds a License No. AP142982 (Texas).

The current practice location address for Bernice Fomunung is 8501 Wade Blvd Ste 110, Frisco, TX and can be reached out via phone at 972-668-3109.

Location: 8501 Wade Blvd Ste 110, Frisco, TX, 75033-8068
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225679368
Provider Name
Bernice Fomunung
Credential
Provider Entity Type
Individual
Gender
Female
Address
8501 Wade Blvd Ste 110, Frisco, TX, 75033-8068
Phone Number
972-668-3109
Fax Number
Provider Enumeration Date
09/30/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8501 Wade Blvd Ste 110
City
Frisco
State
Texas
Zip
75034-6262
Phone Number
972-668-3109
Fax Number
person
Provider Business Mailing Address Details
Address
8501 Wade Blvd Ste 110
City
Frisco
State
Texas
Zip
75034-6262
Phone Number
972-668-3109
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
AP142982 (Texas)
Definition
Definition to come...
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