Provider Demographics
NPI:1427558923
Name:ESPINOSA, JANNY ANN (LVN)
Entity Type:Individual
Prefix:
First Name:JANNY
Middle Name:ANN
Last Name:ESPINOSA
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:628 STARR ST
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78839-4408
Mailing Address - Country:US
Mailing Address - Phone:830-854-0087
Mailing Address - Fax:
Practice Address - Street 1:628 STARR ST
Practice Address - Street 2:
Practice Address - City:CRYSTAL CITY
Practice Address - State:TX
Practice Address - Zip Code:78839-4408
Practice Address - Country:US
Practice Address - Phone:830-854-0087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-20
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX226785164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse