Individual provider · Type 1 NPI
Shawna Jae Rubalcaba, FNP
Family Nurse Practitioner · Fort Worth, TX
NPI number
1609418045
Active
Practice location
1101 6th Ave Ste 110
Fort Worth, TX 76104-4929
Fax (817) 912-8580
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | AP143593 (TX) |
| Family Nurse Practitioner Primary | 363LF0000X | AP143593 (TX) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1609418045
Shawna Jae Rubalcaba, FNP's National Provider Identifier is 1609418045, issued on Oct 16, 2019. 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 Oct 4, 2024.