Provider Demographics
NPI:1538653290
Name:WARD, ALANA MICHELLE (PMHNP)
Entity Type:Individual
Prefix:
First Name:ALANA
Middle Name:MICHELLE
Last Name:WARD
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1315 S ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-4404
Mailing Address - Country:US
Mailing Address - Phone:833-484-6359
Mailing Address - Fax:817-764-0684
Practice Address - Street 1:1315 S ADAMS ST
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-4404
Practice Address - Country:US
Practice Address - Phone:833-484-6359
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-18
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.022909363L00000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHAPRN.CNP.022909OtherOHIO APRN LICENSE
FLAPRN11003974OtherFLORIDA APRN LICENSE
OH0311588Medicaid