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

John Derouin Jr.

Individual provider Family Nurse Practitioner · NPI 1114512514

John Derouin Jr. is a Family Nurse Practitioner in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2021.

Licensed in
TX
In the registry since
2021

Practice location Address checks out

508 Misty Mountain Dr
Fort Worth, TX 76140-7531
Phone: (817) 793-7398
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP145044 (TX)

Record details

NPI number1114512514
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 8, 2021
Last updated in NPPESMarch 8, 2021
Certification dateMarch 8, 2021

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