Provider Demographics
NPI:1881850931
Name:KNIGHT, JANET C (PAC)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:C
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:K
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PAC
Mailing Address - Street 1:PO BOX 250
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:TX
Mailing Address - Zip Code:75568-0250
Mailing Address - Country:US
Mailing Address - Phone:903-897-5684
Mailing Address - Fax:903-897-5339
Practice Address - Street 1:101 WILLIS AVE
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:TX
Practice Address - Zip Code:75568-5870
Practice Address - Country:US
Practice Address - Phone:903-897-5684
Practice Address - Fax:903-897-5339
Is Sole Proprietor?:No
Enumeration Date:2008-07-29
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA03991363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXQ27048Medicare UPIN