Janice Pulliam, RN
Registered Nurse in Fort Worth, TX. Individual provider (NPI-1).
NPI number1043661515
StatusActive
Last updated in NPPESJun 27, 2016
Details
- NPI
- 1043661515
- Entity type
- Individual (NPI-1)
- Name
- Janice Pulliam
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 27, 2016
- Last updated
- Jun 27, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 601860 | TX | Yes |
Practice location
6551 Granbury RdFort Worth, TX 76133-4926
Phone 817-370-4530 · Fax 817-370-4522
Mailing address
6551 Granbury RdFort Worth, TX 76133-4926
Phone 817-370-4530 · Fax 817-370-4522
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