Individual
JANNA FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2379 GUS THOMASSON RD, MESQUITE, TX 75150-5302
(682) 405-4998
Mailing address
PO BOX 224864, DALLAS, TX 75222-4864
(682) 405-4998
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
611241
TX
Other
Enumeration date
02/25/2025
Last updated
04/03/2025
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