Carolyn S Jansa in Hereford - Nurse Practitioner

Carolyn S Jansa - NPI 1396737466

Carolyn S Jansa is a Nurse Practitioner in Hereford, Texas. Carolyn S Jansa practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Carolyn S Jansa is 1396737466. The last update date is 2010-05-04.

Carolyn S Jansa's current location address is 540 W. 15th Street, Hereford, Texas. You can contact this provider via phone number 8063647512 and fax number 8063645256. The mailing address for Carolyn S Jansa is 540 W. 15th Street, Hereford, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Carolyn S Jansa
Address 540 W. 15th Street, Hereford, Texas
Phone Number 8063647512
Fax Number 8063645256
Sole Proprietor N
Credentials WHNP LPA

NPI Number Detail

NPI Number 1396737466
Provider Enumeration Date 2005-08-16
Last Updated Date 2010-05-04

Provider Mailing Address Detail

Address 540 W. 15th Street
City Hereford
State Texas (TX)
Post Code 79045
Phone Number 8063647512
Fax Number 8063645256

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 502349
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

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FAQs about Carolyn S Jansa

What is the Carolyn S Jansa's 1396737466?

The Carolyn S Jansa's NPI (National Provider Identifier) Number is 1396737466. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Carolyn S Jansa is located?

The Carolyn S Jansa is situated at the following address: 540 W. 15Th Street, Hereford, TX, 79045.

What is Carolyn S Jansa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Carolyn S Jansa's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1396737466 to Carolyn S Jansa?

The Centers for Medicare & Medicaid Services originally issued the 1396737466 to Carolyn S Jansa on 2005-08-16.

As of what date was the information regarding Carolyn S Jansa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Carolyn S Jansa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-05-04.

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