Provider Demographics
NPI:1326030719
Name:BROWN, JANICE MARIA (APN, WHNP-BC)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:MARIA
Last Name:BROWN
Suffix:
Gender:F
Credentials:APN, WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 SE LOOP 820
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76140-1013
Mailing Address - Country:US
Mailing Address - Phone:817-922-8182
Mailing Address - Fax:866-638-4872
Practice Address - Street 1:2900 SE LOOP 820
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76140-1013
Practice Address - Country:US
Practice Address - Phone:817-922-8182
Practice Address - Fax:866-638-4872
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX544870363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX10018700Medicaid
TX544870OtherTX BON
TXAP110497OtherTX BOARD OF NURSING
TX164611901Medicaid
TX8N8295OtherBCBSTX
TX0043MEOtherBCBS OF TX