Individual
DR. NATHAN KENNETH JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
18511 HIGHLANDER MEDICS ST, FORT BLISS, TX 79906-5327
(915) 742-0493
(915) 742-2748
Mailing address
18511 HIGHLANDER MEDICS ST, FORT BLISS, TX 79906-5327
(915) 742-0493
(915) 742-2748
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
71784
GA
207RI0200X
Infectious Disease Physician
Primary
071784
GA
Other
Enumeration date
07/10/2012
Last updated
03/10/2026
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