Provider Demographics
NPI:1962789537
Name:JANA PICTON RN, FNP
Entity type:Organization
Organization Name:JANA PICTON RN, FNP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANA
Authorized Official - Middle Name:J
Authorized Official - Last Name:PICTON
Authorized Official - Suffix:
Authorized Official - Credentials:RN, FNP
Authorized Official - Phone:817-568-3274
Mailing Address - Street 1:11797 SOUTH FWY STE 338
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028-7035
Mailing Address - Country:US
Mailing Address - Phone:817-568-3274
Mailing Address - Fax:817-568-5434
Practice Address - Street 1:11797 SOUTH FWY STE 338
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-7035
Practice Address - Country:US
Practice Address - Phone:817-568-3274
Practice Address - Fax:817-568-5434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-10
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF7785282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF7785OtherBOARD OF NURSE EXAMINERS