Provider Demographics
NPI:1689141533
Name:KRUG, JANICE FOSTER (APRN, PMHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:FOSTER
Last Name:KRUG
Suffix:
Gender:F
Credentials:APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10107 IRON OAK LN
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213-1927
Mailing Address - Country:US
Mailing Address - Phone:210-416-2174
Mailing Address - Fax:
Practice Address - Street 1:10107 IRON OAK LN
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-1927
Practice Address - Country:US
Practice Address - Phone:210-416-2174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-30
Last Update Date:2018-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP139455363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health