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NPI Code Detail

MEDICARE: JANETTE GASAWAY APRN, NP-C

MEDICARE: JANETTE GASAWAY APRN, NP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner1019890TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043800865
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANETTE GASAWAY APRN, NP-C
Provider Business Mailing Address
First Line : 4708 ALLIANCE BLVD STE 600
Second Line :
City : PLANO
State : TX
Zip : 75093-5368
Country : US
Telephone Number : 469-467-0011
Fax Number :
Provider Business Practice Location Address
First Line : 4708 ALLIANCE BLVD STE 600
Second Line :
City : PLANO
State : TX
Zip : 75093-5368
Country : US
Telephone Number : 469-467-0011
Fax Number : 469-467-4923
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2021
Last Update Date : 12/15/2025

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