Individual provider · Type 1 NPI
Krystal Newsom
Family Nurse Practitioner · Fort Worth, TX
NPI number
1366357717
Active
Practice location
1500 S Main St
Fort Worth, TX 76104-4917
Mailing address
144 Prairie Meadows Ct
Rhome, TX 76078-5458
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 1091870 (TX) |
| Registered Nurse | 163W00000X | 1091870 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1366357717
Krystal Newsom's National Provider Identifier is 1366357717, issued on Aug 18, 2026. 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 Sep 25, 2026.