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NPI Code Detail

MEDICARE: JANET ISAT APRN, CPNP,IBCLC

MEDICARE: JANET ISAT APRN, CPNP,IBCLC
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
1363LP0200XPediatric Nurse PractitionerAP133563TX

General Provider Information

NPI Number : 1730612631
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANET ISAT APRN, CPNP,IBCLC
Provider Business Mailing Address
First Line : PO BOX 844658
Second Line :
City : DALLAS
State : TX
Zip : 75284-4658
Country : US
Telephone Number : 254-724-8800
Fax Number :
Provider Business Practice Location Address
First Line : 6684 W ADAMS AVE
Second Line :
City : TEMPLE
State : TX
Zip : 76502-5632
Country : US
Telephone Number : 254-899-4200
Fax Number : 254-899-4205
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2017
Last Update Date : 01/03/2022

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