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Contact Information

MARISSA M HAMPTON
1301 PENNSYLVANIA AVE
FORT WORTH, TX76104-2122
 Phone: 817-825-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal Intensive Care

163WN0002X
 

Neonatal

363LN0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARISSA M HAMPTON · (Female)

NPI Number 1295131407
Status Active
Credentials
Entity Individual
Enumeration date 11/16/2014
Last updated 05/28/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 733624
  • TX License # AP128001
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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