Individual
MRS. CAROLYN S JANSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP LPA
Contact information
Practice address
540 W. 15TH STREET, HEREFORD, TX 79045
(806) 364-7512
(806) 364-5256
Mailing address
540 W. 15TH STREET, HEREFORD, TX 79045
(806) 364-7512
(806) 364-5256
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
502349
TX
Other
Enumeration date
08/16/2005
Last updated
05/04/2010
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