Provider Demographics
NPI:1982347514
Name:SALONE, CARMEN JANEAN (NP)
Entity Type:Individual
Prefix:
First Name:CARMEN
Middle Name:JANEAN
Last Name:SALONE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:CARMEN
Other - Middle Name:JANEAN
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:8516 DELMAR CT
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76123-1681
Mailing Address - Country:US
Mailing Address - Phone:214-549-2482
Mailing Address - Fax:
Practice Address - Street 1:712 N WASHINGTON AVE STE 415
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1634
Practice Address - Country:US
Practice Address - Phone:214-820-9115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-20
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1074008363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care