Individual
JANIS SPROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP, GNP
Contact information
Practice address
900 WEST MAGNOLIA AVE, STE. 100, FORT WORTH, TX 76104
(817) 870-7300
(817) 332-8372
Mailing address
900 WEST MAGNOLIA AVE, STE 100, FORT WORTH, TX 76104
(817) 870-7300
(817) 332-8372
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
248840
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
248840
LICENSE
TX
Enumeration date
03/08/2007
Last updated
11/12/2010
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