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Jacquelyn E Bacchus, FNP
Family Nurse Practitioner in Fort Worth, Texas
NPI 1831380773

Jacquelyn E Bacchus is a Family Nurse Practitioner based in Fort Worth, TX and is specialized in Family. Jacquelyn E Bacchus practices in Fort Worth, TX and has the professional credentials of FNP. The NPI Number for Jacquelyn E Bacchus is 1831380773 and holds a License No. 03590 (Texas).

The current practice location address for Jacquelyn E Bacchus is 855 Montgomery, Fort Worth, TX and can be reached out via phone at 817-735-2440.

Location: 855 Montgomery, Fort Worth, TX, 76199-0335
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831380773
Provider Name
Jacquelyn E Bacchus
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
855 Montgomery, Fort Worth, TX, 76199-0335
Phone Number
817-735-2440
Fax Number
Provider Enumeration Date
08/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
340638101 05 TX
8962NL 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
855 Montgomery
City
Fort Worth
State
Texas
Zip
76107-2553
Phone Number
817-735-2440
Fax Number
person
Provider Business Mailing Address Details
Address
855 Montgomery
City
Fort Worth
State
Texas
Zip
76107-2553
Phone Number
817-735-2440
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
03590 (Louisiana)
Definition
Definition to come...
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