IndividualActive
Abimbola Fagun
NPI 1407745607 · Registered Nurse · Fort Worth, TX
Provider details
- NPI number
- 1407745607
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 26NR12599800 (NJ)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Nursing Service Providers
- Adult Care Home Facility311ZA0620X
Nursing & Custodial Care Facilities
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000X
Residential Treatment Facilities
Practice location
1740 W Everman Pkwy
Fort Worth, TX 76134
Phone: (732) 882-2418
Approximate (ZIP-level) locationGet directions
Mailing address
1740 W Everman Pkwy
Fort Worth, TX 76134
Registry dates
- Enumerated
- 2025-07-01
- Last updated
- 2025-07-21
- Certified
- 2025-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.