Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Judith Jose Bonifacio, RN, MSN, CPNP-PC

Individual provider Primary Care Nurse Practitioner · NPI 1629549019

Judith Jose Bonifacio, RN, MSN, CPNP-PC is a Primary Care Nurse Practitioner in Fort Worth, Texas. Works from 4 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2018
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.

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Practice location Address checks out

1500 W Rosedale St
Fort Worth, TX 76104-7403
Phone: (682) 885-3426
Fax: (682) 885-7699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1935 Medical District Dr, Dallas, TX 75235-7701 — (214) 456-2670
  • 6520 N President George Bush Hwy Ste 100, Garland, TX 75044-3925 — (972) 532-9967
  • 3166 S State Highway 161 Ste 170, Grand Prairie, TX 75052-7720 — (972) 640-0005

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence AP138755 (TX)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence AP138755 (TX)

Record details

NPI number1629549019
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , MSN , CPNP-PC
Sole proprietorNo
NPI enumeratedDecember 10, 2018
Last updated in NPPESOctober 16, 2023
Certification dateOctober 16, 2023

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