Individual
JANICE M IMMING-ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,RN,APN
Contact information
Practice address
18170 DALLAS PKWY STE 502, DALLAS, TX 75287-7151
(972) 250-2468
Mailing address
PO BOX 835808, RICHARDSON, TX 75083-5808
(214) 553-5747
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
570258
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096204501
—
TX
01
—
NP7000
BCBS
TX
Enumeration date
12/21/2006
Last updated
09/11/2014
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