Provider Demographics
NPI:1003091083
Name:ATTISHA, JANET L (RN, ACNP)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:L
Last Name:ATTISHA
Suffix:
Gender:F
Credentials:RN, ACNP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6565 FANNIN ST
Mailing Address - Street 2:STE 1260
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2703
Mailing Address - Country:US
Mailing Address - Phone:713-797-0466
Mailing Address - Fax:713-797-0466
Practice Address - Street 1:6560 FANNIN ST
Practice Address - Street 2:STE 1260
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2761
Practice Address - Country:US
Practice Address - Phone:713-797-0466
Practice Address - Fax:713-797-0451
Is Sole Proprietor?:No
Enumeration Date:2008-01-08
Last Update Date:2017-03-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX661328363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner