SearchTexasPsychiatric/Mental Health Nurse Practitioner

Prajnawati Wibowo, NP

NPI 1760959696 · on the registry since 2018

Practice

Address
5301 Alpha Rd Ste 80-3
Dallas, TX 75240
Phone
(682) 215-1691
Fax
(682) 267-4840
Organisation at this address
Minds Of Gold
Sacramento Med Llc
Beauty Bar By Terri
Grace In Healings Pllc
Amtrust Home Health Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Also registered as
363LA2100X
Psychiatric/Mental Health Nurse Practitioner
Licence states on file
TX, CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-10-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas