person
Janice Renea Richardson, AGNP
Adult Health Nurse Practitioner in Fort Worth, Texas
NPI 1306110366

Janice Renea Richardson is an Adult Health Nurse Practitioner based in Dallas, TX and is specialized in Adult Health. Janice Renea Richardson practices in Fort Worth, TX and has the professional credentials of AGNP. The NPI Number for Janice Renea Richardson is 1306110366 and holds a License No. AP117208 (Texas).

The current practice location address for Janice Renea Richardson is 1350 E Lancaster Ave Ste 100, Fort Worth, TX and can be reached out via phone at 817-702-8391 and via fax at 817-702-4102. You can also correspond with Janice Renea Richardson through the mailing address at 9229 LBJ FWY, DALLAS, TX - 75243-3405 (mailing address contact number: 682-236-3656).

Location: 1350 E Lancaster Ave Ste 100, Fort Worth, TX, 75243-3405
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Provider Profile Details
NPI Number
1306110366
Provider Name
Janice Renea Richardson
Credential
AGNP
Provider Entity Type
Individual
Gender
Female
Address
1350 E Lancaster Ave Ste 100, Fort Worth, TX, 75243-3405
Phone Number
817-702-8391
Fax Number
817-702-4102
Provider Enumeration Date
03/07/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8445NJ 01 TX BCBS
8920NK 01 TX BCBS
340549001 05 TX
340549003 05 TX
institution
Provider Business Practice Location Address Details
Address
1350 E Lancaster Ave Ste 100
City
State
Zip
76102-6671
Phone Number
817-702-8391
Fax Number
817-702-4102
person
Provider Business Mailing Address Details
Address
9229 Lbj Fwy
City
State
Zip
75243-3405
Phone Number
682-236-3656
Fax Number
214-570-1692
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
601924 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
601924 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
AP117208 (Tennessee)
Definition
Definition to come...
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