MEDICARE: JANICE MARIA BROWN APRN, WHNP-BC

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	363LW0102X	Women's Health Nurse Practitioner	544870	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8N8295	OTHER	TX	BCBSTX
2	0043ME	OTHER	TX	BCBS OF TX
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	544870	OTHER	TX	TX BON
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	AP110497	OTHER	TX	TX BOARD OF NURSING

General Provider Information

NPI Number	:	1326030719
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANICE MARIA BROWN APRN, WHNP-BC

Provider Business Mailing Address
First Line	:	1100 BRIDGEWOOD DR STE 120
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76112-0809
Country	:	US
Telephone Number	:	817-922-8182
Fax Number	:	866-638-4872

Provider Business Practice Location Address
First Line	:	1100 BRIDGEWOOD DR STE 120
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76112-0809
Country	:	US
Telephone Number	:	817-922-8182
Fax Number	:	866-638-4872

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	02/28/2025

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