Dr Tawanda Nitchelle Bostic, FNP-BC/PMHNP-BC - Nurse Practitioner in Fort Worth, TX

Dr Tawanda Nitchelle Bostic, FNP-BC/PMHNP-BC is a Nurse Practitioner - Psychiatric/mental Health based in Fort Worth, Texas. Dr Tawanda Nitchelle Bostic is licensed to practice in Washington (license number AP60975928) and her current practice location is 6000 Western Pl, Fort Worth, Texas. She can be reached at her office (for appointments etc.) via phone at (704) 641-7475.

NPI number for Dr Tawanda Nitchelle Bostic is 1154576197 and her current mailing address is 9805 Statesville Rd Ste 6331, Charlotte, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154576197.

Contact Information

Dr Tawanda Nitchelle Bostic, FNP-BC/PMHNP-BC
6000 Western Pl,
Fort Worth, TX 76107-4607
(704) 641-7475
Not Available

Map and Direction




Provider's Profile

Full NameDr Tawanda Nitchelle Bostic
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location6000 Western Pl, Fort Worth, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1154576197
  • Provider Enumeration Date: 11/18/2008
  • Last Update Date: 09/03/2020

Medical Identifiers

Medical identifiers for Dr Tawanda Nitchelle Bostic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154576197NPI-NPPES
196483OtherNCNCBON- RN LICENSE
2008006354OtherNCANCC- FNP CERTIFICATION
2013020566OtherNCANCC
APRN-LIC-127603OtherMTMONTANA APRN LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WM0705XRegistered Nurse - Medical-surgical 196483 (North Carolina)Secondary
363LF0000XNurse Practitioner - Family APRN-LIC-127603 (Montana)Secondary
363LF0000XNurse Practitioner - Family 196483 (North Carolina)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 196483 (North Carolina)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health AP60975928 (Washington)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Tawanda Nitchelle Bostic is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Tawanda Nitchelle Bostic, FNP-BC/PMHNP-BC
9805 Statesville Rd Ste 6331,
Charlotte, NC 28269-7647

Ph: (704) 641-7475
Dr Tawanda Nitchelle Bostic, FNP-BC/PMHNP-BC
6000 Western Pl,
Fort Worth, TX 76107-4607

Ph: (704) 641-7475

Reviews and Comments


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