Individual provider · Type 1 NPI

Meghan Lynn Liebum, NP

Family Nurse Practitioner · Fort Worth, TX

NPI number 1063864239 Active

Practice location

4480 Bryant Irvin Rd
Fort Worth, TX 76132-1064

Mailing address

5937 Donnelly Ave
Fort Worth, TX 76107-5811

Other practice locations

  • 55 Lake Ave N, Department Of Emergency Medicine, Worcester, MA 01655-0002 · (508) 421-1400
  • 5937 Donnelly Ave, Fort Worth, TX 76107-5811 · (281) 799-2725

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XRN2295968 (MA)
Family Nurse Practitioner Primary 363LF0000XAP134803 (TX)

Family Nurse Practitioner: Definition to come...

3 other providers at this address

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About NPI 1063864239

Meghan Lynn Liebum, NP's National Provider Identifier is 1063864239, issued on Jul 12, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Worth, TX. The record was last updated on Aug 8, 2025.