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Individual
JANELLE M BLOCK
Active
Individual
JANELLE M BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3076-033
WI
363L00000X
Nurse Practitioner
Primary
AP122375
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
319126406
—
TX
01
—
818270
TEXAS MEDICAL LICENSE
TX
01
—
AP122375
TEXAS MEDICAL LICENSE
TX
01
—
PO1477395
RR MEDICARE
TX
01
—
PO2394873
RR MEDICARE
TX
Enumeration date
07/11/2007
Last updated
05/19/2020
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