Provider Demographics
NPI:1326823139
Name:JAMBOR, ANN LOUISE (FNTP, MRWP)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:LOUISE
Last Name:JAMBOR
Suffix:
Gender:F
Credentials:FNTP, MRWP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6635 SILVER SADDLE RD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76126-9597
Mailing Address - Country:US
Mailing Address - Phone:817-269-9463
Mailing Address - Fax:
Practice Address - Street 1:5925 LOVELL AVE STE B
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76107-5062
Practice Address - Country:US
Practice Address - Phone:682-499-5603
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-29
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach