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Connie E Dedmon, PNP
Pediatric Nurse Practitioner in Fort Worth, Texas
NPI 1467437954

Connie E Dedmon is a Pediatric Nurse Practitioner based in Fort Worth, TX and is specialized in Pediatrics. Connie E Dedmon practices in Fort Worth, TX and has the professional credentials of PNP. The NPI Number for Connie E Dedmon is 1467437954 and holds a License No. 230593 (Texas).

The current practice location address for Connie E Dedmon is 4405 River Oaks Blvd, Fort Worth, TX and can be reached out via phone at 817-624-1770 and via fax at 817-625-1287.

Location: 4405 River Oaks Blvd, Fort Worth, TX, 76199-0371
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Provider Profile Details
NPI Number
1467437954
Provider Name
Connie E Dedmon
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
4405 River Oaks Blvd, Fort Worth, TX, 76199-0371
Phone Number
817-624-1770
Fax Number
817-625-1287
Provider Enumeration Date
12/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1750369203 01 GROUP NPI
184937401 05 TX
184937403 05 TX
institution
Provider Business Practice Location Address Details
Address
4405 River Oaks Blvd
City
State
Zip
76114-2326
Phone Number
817-624-1770
Fax Number
817-625-1287
person
Provider Business Mailing Address Details
Address
4405 River Oaks Blvd
City
State
Zip
76114-2326
Phone Number
817-624-1770
Fax Number
817-625-1287
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
230593 (Texas)
Definition
Definition to come...
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