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NPI Code Detail

MEDICARE: JANA ELISABETH ROGERS FNP-C

MEDICARE: JANA ELISABETH ROGERS FNP-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 Practitioner1034449TX

General Provider Information

NPI Number : 1598341588
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANA ELISABETH ROGERS FNP-C
Provider Business Mailing Address
First Line : PO BOX 1975
Second Line :
City : FRISCO
State : TX
Zip : 75034-0034
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 705 MAIN ST
Second Line :
City : COPPELL
State : TX
Zip : 75019-4742
Country : US
Telephone Number : 972-440-2359
Fax Number : 972-304-6455
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2021
Last Update Date : 03/04/2024

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Directions to “ JANA ELISABETH ROGERS FNP-C” Practice Location

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