Individual
DR. JANETTE M ZDANUK DODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP, CWS
Contact information
Practice address
1301 W 7TH ST, SUITE 121, FORT WORTH, TX 76102-2651
(817) 348-0425
(817) 348-0455
Mailing address
9700 BRENDEN DR, FORT WORTH, TX 76108-3885
(817) 235-9957
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
445715
TX
363LF0000X
Family Nurse Practitioner
445715
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01269303
AMERIGROUP
TX
01
—
1122640-04
MEDICAID TPI
TX
01
—
8F21186
MEDICARE ID
TX
Enumeration date
08/11/2005
Last updated
05/01/2023
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