Provider Demographics
NPI:1962184473
Name:SALCEDO, JANICE (MSN, APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:
Last Name:SALCEDO
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3416 HERRON DR
Mailing Address - Street 2:
Mailing Address - City:MELISSA
Mailing Address - State:TX
Mailing Address - Zip Code:75454-0319
Mailing Address - Country:US
Mailing Address - Phone:516-761-4431
Mailing Address - Fax:
Practice Address - Street 1:3416 HERRON DR
Practice Address - Street 2:
Practice Address - City:MELISSA
Practice Address - State:TX
Practice Address - Zip Code:75454-0319
Practice Address - Country:US
Practice Address - Phone:516-761-4431
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-03
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1130402363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily