Individual provider · Type 1 NPI

Ivy Alex

Registered Nurse · Fort Worth, TX

NPI number 1679489595 Active

Practice location

3800 Hulen St
Fort Worth, TX 76107-7276

Mailing address

14117 Callisto Way
Haslet, TX 76052-1443

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X956750 (TX)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1679489595

Ivy Alex's National Provider Identifier is 1679489595, issued on Aug 20, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Fort Worth, TX. The record was last updated on Aug 20, 2026.