Provider Demographics
NPI:1437371408
Name:SLOAN, JANICE D (RN)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:D
Last Name:SLOAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1345 RIVER BEND DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247-6943
Mailing Address - Country:US
Mailing Address - Phone:214-743-1272
Mailing Address - Fax:214-630-3625
Practice Address - Street 1:1345 RIVER BEND DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75247-6943
Practice Address - Country:US
Practice Address - Phone:214-743-1272
Practice Address - Fax:214-630-3625
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2016-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX623723364SP0809X
TX038802084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry