Provider Demographics
NPI:1245935519
Name:JANE HEALTH SERVICES
Entity type:Organization
Organization Name:JANE HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:713-269-2642
Mailing Address - Street 1:3215 MERCER ST STE D
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-6089
Mailing Address - Country:US
Mailing Address - Phone:713-269-2642
Mailing Address - Fax:
Practice Address - Street 1:3215 MERCER ST STE D
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-6089
Practice Address - Country:US
Practice Address - Phone:713-269-2642
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Single Specialty