Provider Demographics
NPI:1710541594
Name:IJNA NURSING SERVICES
Entity Type:Organization
Organization Name:IJNA NURSING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:A
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:SR
Authorized Official - Credentials:LVN
Authorized Official - Phone:210-463-4468
Mailing Address - Street 1:13130 FAIRACRES WAY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78233-5144
Mailing Address - Country:US
Mailing Address - Phone:210-463-4468
Mailing Address - Fax:
Practice Address - Street 1:13130 FAIRACRES WAY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78233-5144
Practice Address - Country:US
Practice Address - Phone:210-463-4468
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-26
Last Update Date:2019-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SH0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistHome HealthGroup - Single Specialty