Provider Demographics
NPI:1215995634
Name:MEYERS, JANE CHRISTINE (ANP)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:CHRISTINE
Last Name:MEYERS
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5012 US HWY 75 S,SUITE 300
Mailing Address - Street 2:ATTN. BILLING
Mailing Address - City:DENISON
Mailing Address - State:TX
Mailing Address - Zip Code:75020
Mailing Address - Country:US
Mailing Address - Phone:806-351-7540
Mailing Address - Fax:
Practice Address - Street 1:1900 SE 34TH AVE
Practice Address - Street 2:UNIT 1800
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79118-6783
Practice Address - Country:US
Practice Address - Phone:806-351-7540
Practice Address - Fax:806-351-7546
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2019-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX500504363LP0200X
TXAP104361363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX109596001Medicaid
TX109596005Medicaid
TX109283Medicaid
TX109596003Medicaid