Provider Demographics
NPI:1750193967
Name:PACKER, WILLIAM JOZSEF (APRN, FNP-C)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:JOZSEF
Last Name:PACKER
Suffix:
Gender:M
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1759 BROAD PARK CIR S STE 201
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-7834
Mailing Address - Country:US
Mailing Address - Phone:682-341-3910
Mailing Address - Fax:
Practice Address - Street 1:1759 BROAD PARK CIR S STE 201
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-7834
Practice Address - Country:US
Practice Address - Phone:682-341-3910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1063215363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily