Provider Demographics
NPI:1053874586
Name:JUNGE, ANGELA DOSSEY (FNP-C)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:DOSSEY
Last Name:JUNGE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:ANGIE
Other - Middle Name:DOSSEY
Other - Last Name:JUNGE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP-C
Mailing Address - Street 1:1650 W MAGNOLIA AVE STE 208
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-4011
Mailing Address - Country:US
Mailing Address - Phone:817-912-8000
Mailing Address - Fax:
Practice Address - Street 1:1650 W MAGNOLIA AVE STE 208
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-4011
Practice Address - Country:US
Practice Address - Phone:817-912-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-11
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP140769363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily