Individual provider · Type 1 NPI

Judith Jose Bonifacio, RN, MSN, CPNP-PC

Primary Care Nurse Practitioner · Fort Worth, TX

NPI number 1629549019 Active

Practice location

1500 W Rosedale St
Fort Worth, TX 76104-7403

Call (682) 885-3426 Map

Fax (682) 885-7699

Mailing address

PO Box 733784
Dallas, TX 75373-3784

Other practice locations

  • 1935 Medical District Dr, Dallas, TX 75235-7701 · (214) 456-2670
  • 6520 N President George Bush Hwy Ste 100, Garland, TX 75044-3925 · (972) 532-9967
  • 3166 S State Highway 161 Ste 170, Grand Prairie, TX 75052-7720 · (972) 640-0005

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XAP138755 (TX)
Pediatric Nurse Practitioner 363LP0200XAP138755 (TX)

Primary Care Nurse Practitioner: Definition to come...

8 other providers at this address

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About NPI 1629549019

Judith Jose Bonifacio, RN, MSN, CPNP-PC's National Provider Identifier is 1629549019, issued on Dec 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 Oct 16, 2023.