Provider Demographics
NPI:1922425586
Name:IN HOME NURSE PRACTITIONERS
Entity Type:Organization
Organization Name:IN HOME NURSE PRACTITIONERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:AMEISHA
Authorized Official - Middle Name:JASHON
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN, FNP-C
Authorized Official - Phone:817-706-8415
Mailing Address - Street 1:PO BOX 19096
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76119-1096
Mailing Address - Country:US
Mailing Address - Phone:817-706-8415
Mailing Address - Fax:
Practice Address - Street 1:4300 PECOS ST
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76119-5162
Practice Address - Country:US
Practice Address - Phone:817-706-8415
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-20
Last Update Date:2014-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX704199253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care