Healthcare Provider Details

I. General information

NPI: 1437371408
Provider Name (Legal Business Name): JANICE D SLOAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 08/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1345 RIVER BEND DR
DALLAS TX
75247-6943
US

IV. Provider business mailing address

1345 RIVER BEND DR
DALLAS TX
75247-6943
US

V. Phone/Fax

Practice location:
  • Phone: 214-743-1272
  • Fax: 214-630-3625
Mailing address:
  • Phone: 214-743-1272
  • Fax: 214-630-3625

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number623723
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number03880
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: