Individual provider · Type 1 NPI

Kinzi Lea Self, APRN, AGACNP-BC

Nurse Practitioner · Fort Worth, TX

NPI number 1932948189 Active

Practice location

4525 Heritage Trace Pkwy Ste 117
Fort Worth, TX 76244-8910

Call (817) 267-6290 Map

Fax (817) 267-0950

Mailing address

3030 Harwood Rd Ste 100
Bedford, TX 76021-3703

Other practice locations

3030 Harwood Rd Ste 100, Bedford, TX 76021-3703 · (817) 267-6290

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	1194805 (TX)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

5 other providers at this address

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About NPI 1932948189

Kinzi Lea Self, APRN, AGACNP-BC's National Provider Identifier is 1932948189, issued on May 20, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Worth, TX. The record was last updated on Sep 14, 2026.