Healthcare Provider Details

I. General information

NPI: 1538465976
Provider Name (Legal Business Name): JANE CIPRIANO RN, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2011
Last Update Date: 02/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2512 SEQUOIA DR
MISSION TX
78572-4712
US

IV. Provider business mailing address

2512 SEQUOIA DR
MISSION TX
78572-4712
US

V. Phone/Fax

Practice location:
  • Phone: 956-279-7091
  • Fax:
Mailing address:
  • Phone: 956-279-7091
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number678338
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: