Healthcare Provider Details

I. General information

NPI: 1144605205
Provider Name (Legal Business Name): JANET SLOVER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2015
Last Update Date: 04/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 W PARMER LN STE 106
AUSTIN TX
78727
US

IV. Provider business mailing address

3600 W PARMER LN STE 106
AUSTIN TX
78727-4111
US

V. Phone/Fax

Practice location:
  • Phone: 512-977-0123
  • Fax: 512-977-0126
Mailing address:
  • Phone: 512-977-0123
  • Fax: 512-977-0126

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License NumberAP128669
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code364SG0600X
TaxonomyGerontology Clinical Nurse Specialist
License NumberAP128669
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: