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Individual
JANIS A. MERCER
Active
Individual
JANIS A. MERCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
534127
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8N9161
BLUE SHIELD
TX
01
—
P00268488
RR/MEDICARE
TX
Enumeration date
04/07/2006
Last updated
07/10/2007
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