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Carlene St John is one of 876 nurse practitioners practicing in Fort Worth, Texas .
Carlene St John practices with Superior Healthcare Services LLC.
Registry record (NPPES)
NPI
1760988919
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Family · 363LF0000X
Address on file
3348 Peden Rd Ste 401 Fort Worth, TX 76179-5555 (817) 488-6369
Enumerated
Apr 4, 2018
Record last updated
Dec 6, 2024
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
512 W Bonds Ranch Rd Suite 150
Fort Worth , TX 76131
(817) 488-6369
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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