Provider Demographics
NPI:1831081561
Name:FUSSNECKER, BARBARA ROKYA (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:ROKYA
Last Name:FUSSNECKER
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2232 ACAPULCO DR
Mailing Address - Street 2:
Mailing Address - City:EAGLE PASS
Mailing Address - State:TX
Mailing Address - Zip Code:78852-4102
Mailing Address - Country:US
Mailing Address - Phone:830-513-7004
Mailing Address - Fax:
Practice Address - Street 1:2212 ROSITA VALLEY RD
Practice Address - Street 2:
Practice Address - City:EAGLE PASS
Practice Address - State:TX
Practice Address - Zip Code:78852-2503
Practice Address - Country:US
Practice Address - Phone:830-773-2105
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1206912363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily