Provider Demographics
NPI:1194290510
Name:SAGANA, JANICELYN VALERIO (FNP-C)
Entity type:Individual
Prefix:
First Name:JANICELYN
Middle Name:VALERIO
Last Name:SAGANA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:JANICE
Other - Middle Name:
Other - Last Name:SAGANA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1007 BERKELY DR
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-2707
Mailing Address - Country:US
Mailing Address - Phone:321-331-4212
Mailing Address - Fax:
Practice Address - Street 1:916 E HACKBERRY AVE STE B
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-5737
Practice Address - Country:US
Practice Address - Phone:956-688-3700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-12
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP139233363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily