Provider Demographics
NPI:1700978335
Name:NEWTON, JO ANN (FNP)
Entity Type:Individual
Prefix:MS
First Name:JO
Middle Name:ANN
Last Name:NEWTON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:JO
Other - Middle Name:
Other - Last Name:NEWTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP
Mailing Address - Street 1:900 WHITEWATER TRL
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-5443
Mailing Address - Country:US
Mailing Address - Phone:214-333-3334
Mailing Address - Fax:800-948-0085
Practice Address - Street 1:900 WHITEWATER TRL
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-5443
Practice Address - Country:US
Practice Address - Phone:214-333-3334
Practice Address - Fax:800-948-0085
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX222959363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily