Individual provider · Type 1 NPI

Krista Renee Qualls, NP

Primary Care Nurse Practitioner · Fort Worth, TX

NPI number 1245747351 Active

Practice location

1000 Lipscomb St Ste 110
Fort Worth, TX 76104-3181

Fax (817) 348-8602

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XAP136152 (TX)

Primary Care Nurse Practitioner: Definition to come...

13 other providers at this address

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About NPI 1245747351

Krista Renee Qualls, NP's National Provider Identifier is 1245747351, issued on Jan 10, 2018. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Fort Worth, TX. The record was last updated on Jan 10, 2018.