JACQUELYN E BACCHUS

FORT WORTH, TX
NPI1831380773
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  599838)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: LA  03590)
Enumeration Date2007-08-06
Last Update Date2015-03-02
Business Address
-- JACQUELYN E BACCHUS FNP
855 MONTGOMERY
FORT WORTH, TX 76107-2553
Phone number: 817-735-2440
Mailing Address
-- JACQUELYN E BACCHUS FNP
PO BOX 99335
FORT WORTH, TX 76199-0335
Phone number: