Individual provider · Type 1 NPI
Jessica Lynn Stangenwald, DC, FNP
Family Nurse Practitioner · Hurst, TX
NPI number
1114007390
Active
Practice location
100 Grapevine Highway
Hurst, TX 76054
Fax (817) 281-4249
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | 10088 (TX) |
| Family Nurse Practitioner Primary | 363LF0000X | AP129338 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1114007390
Jessica Lynn Stangenwald, DC, FNP's National Provider Identifier is 1114007390, issued on Oct 16, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hurst, TX. The record was last updated on Sep 23, 2020.