MEDICARE: JANET NASH

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
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1174084271
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JANET NASH

Provider Business Mailing Address
First Line	:	2923 LA RODA
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75054-6502
Country	:	US
Telephone Number	:	469-222-8338
Fax Number	:

Provider Business Practice Location Address
First Line	:	2923 LA RODA
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75054-6502
Country	:	US
Telephone Number	:	469-222-8338
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. JA'NET ALLYN NASH
Credential	:	DNP
Telephone Number	:	469-222-8338

Provider Enumeration Date	:	03/29/2019
Last Update Date	:	07/31/2019

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Directions to “JANET NASH ” Practice Location

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