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

Dr. Tawanda Nitchelle Bostic, FNP-BC/PMHNP-BC

Individual provider Medical-Surgical Registered Nurse · NPI 1154576197

Dr. Tawanda Nitchelle Bostic, FNP-BC/PMHNP-BC is a Medical-Surgical Registered Nurse in Fort Worth, Texas. Practices as a sole proprietor and works from 2 locations. Licensed in Montana, North Carolina and Washington.

Licensed in
MT, NC, WA
In the registry since
2008
Specialties on file
5

Practice location Address checks out

6000 Western Pl
Fort Worth, TX 76107-4607
Phone: (704) 641-7475
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10150 Mallard Creek Rd, Charlotte, NC 28210-3297 — (704) 510-2662

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP60975928 (WA)
Medical-Surgical Registered Nurse Taxonomy 163WM0705X · Licence 196483 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN-LIC-127603 (MT)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 196483 (NC)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 196483 (NC)

Record details

NPI number1154576197
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC/PMHNP-BC
Sole proprietorYes
NPI enumeratedNovember 18, 2008
Last updated in NPPESSeptember 3, 2020
Certification dateSeptember 3, 2020

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