Provider Demographics
NPI:1598941403
Name:TOON, JORJANNA E (NP)
Entity Type:Individual
Prefix:
First Name:JORJANNA
Middle Name:E
Last Name:TOON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:JORJANNA
Other - Middle Name:
Other - Last Name:JUROSKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5523 LAYSAN CT
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75249-2211
Mailing Address - Country:US
Mailing Address - Phone:972-897-8092
Mailing Address - Fax:844-879-9101
Practice Address - Street 1:5523 LAYSAN CT
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75249-2211
Practice Address - Country:US
Practice Address - Phone:972-897-8092
Practice Address - Fax:844-879-9101
Is Sole Proprietor?:No
Enumeration Date:2008-01-10
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP116246363LG0600X
TX689385363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX195031301Medicaid
TX195031301Medicaid