Individual provider · Type 1 NPI

Jessica June Nunnally, CPNP

Pediatric Nurse Practitioner · Fort Worth, TX

NPI number 1093182263 Active

Practice location

801 7th Ave
Fort Worth, TX 76104-2733

Call (682) 885-4095 Map

Fax (682) 885-7499

Mailing address

PO Box 733784
Dallas, TX 75373-3784

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner	363LP0200X	773534 (TX)
Pediatric Nurse Practitioner Primary	363LP0200X	AP129113 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1093182263

Jessica June Nunnally, CPNP's National Provider Identifier is 1093182263, issued on Aug 24, 2015. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Fort Worth, TX. The record was last updated on Apr 6, 2021.