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

Jeandaniel Kouowa, RN

Individual provider Registered Nurse · NPI 1710660139

Jeandaniel Kouowa, RN is a Nurse Practitioner in Fort Worth, Texas. Qualified in 2023, 3 years ago. Practices with Medical Faculty Associates, Inc, a 684-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in District of Columbia and Texas.

Years since qualifying
3
Licensed in
DC, TX
In the registry since
2023
Specialties on file
3
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

3840 Hulen St
Fort Worth, TX 76107-7277
Phone: (817) 335-3022
Show map & directions

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

Additional practice locations (1)

  • 7877 Willow Chase Blvd, Houston, TX 77070-5934 — (832) 869-4818

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 1175721 (TX)
Registered Nurse Taxonomy 163W00000X · Licence 818269 (TX)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 500013883 (DC)

Record details

NPI number1710660139
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedAugust 11, 2023
Last updated in NPPESFebruary 7, 2025
Certification dateFebruary 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Medical Faculty Associates, Inc — 684 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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