Provider Demographics
NPI:1942469200
Name:LAURA JANES CFNP
Entity Type:Organization
Organization Name:LAURA JANES CFNP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:JANES
Authorized Official - Suffix:
Authorized Official - Credentials:RNMSN CFNP
Authorized Official - Phone:903-783-0122
Mailing Address - Street 1:PO BOX 128
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75461-0128
Mailing Address - Country:US
Mailing Address - Phone:903-783-0122
Mailing Address - Fax:
Practice Address - Street 1:707 LAMAR AVE
Practice Address - Street 2:SUITE H
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-4492
Practice Address - Country:US
Practice Address - Phone:903-783-0122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-03
Last Update Date:2008-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX537256NP164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0066JKOtherBC/BS
TX1163451OtherCIGNA
TX7434405OtherAETNA
TX029333401Medicaid
TX029333401Medicaid
TXNP0159Medicare PIN