Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Destiny Ibrom, FNP

Individual provider Family Nurse Practitioner · NPI 1487153573

Destiny Ibrom, FNP is a Family Nurse Practitioner in Port Lavaca, Texas. Licensed in Texas. Registered with an NPI since 2018.

Licensed in
TX
In the registry since
2018
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

1200 N Virginia St
Port Lavaca, TX 77979-2507
Phone: (361) 552-6721
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP136422 (TX)

Record details

NPI number1487153573
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedFebruary 5, 2018
Last updated in NPPESNovember 1, 2019
Mailing address1200 N Virginia St, Port Lavaca, TX 77979-2507

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