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

Individual provider Nurse Practitioner · NPI 1639587462

Mistie B. Granberry, FNP is a Nurse Practitioner in Fort Worth, Texas. Qualified in 2013, 13 years ago. Practices with Healthtexas Provider Network, a 2,539-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
13
Licensed in
TX
In the registry since
2014
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1250 8th Ave Ste 240
Fort Worth, TX 76104-4139
Phone: (817) 927-0456
Fax: (817) 927-4323
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP125723 (TX)

Record details

NPI number1639587462
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJuly 24, 2014
Last updated in NPPESJuly 25, 2014

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Healthtexas Provider Network — 2539 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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