Provider Demographics
NPI:1437158680
Name:SUMNER, JANET L (PNP)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:L
Last Name:SUMNER
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5201 HARRY HINES BLVD
Mailing Address - Street 2:NURSING ADMINISTRATION
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75235-7708
Mailing Address - Country:US
Mailing Address - Phone:214-590-3538
Mailing Address - Fax:214-590-4046
Practice Address - Street 1:5201 HARRY HINES BLVD
Practice Address - Street 2:NURSING ADMINISTRATION
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-7708
Practice Address - Country:US
Practice Address - Phone:214-590-3538
Practice Address - Fax:214-590-4046
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX244112363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX041507703Medicaid
TX8N4818OtherBLUE CROSS BLUE SHIELD
TX041507702Medicaid
TX041507704Medicaid
TXS82335Medicare UPIN
TX041507703Medicaid