Provider Demographics
NPI:1750619276
Name:CHAPMAN, JANET G (NP)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:G
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5546 E 4TH ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711
Mailing Address - Country:US
Mailing Address - Phone:520-722-2400
Mailing Address - Fax:520-323-7531
Practice Address - Street 1:5546 E 4TH ST
Practice Address - Street 2:SUITE 102
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-1452
Practice Address - Country:US
Practice Address - Phone:520-722-2400
Practice Address - Fax:520-323-7531
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-20
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP3517363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ110274OtherMEDICARE PTAN
AZ495420Medicaid