Boozer, Janice Carolyn

Boozer, Janice Carolyn is an individual health care provider with primary practice located at 7100 Oakmont Blvd Ste 101 Barbara Birdwell Md Pa, Fort Worth TX 76132. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Boozer, Janice Carolyn can be contacted via phone (817) 370-0400.

Contact Information

Primary practice address
7100 Oakmont Blvd Ste 101 Barbara Birdwell Md Pa Fort Worth TX 76132
Fax: (817) 370-0448
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 635806 Texas

Profile Details

NPI number 1982672085
LBN Legal business name Boozer, Janice Carolyn
Credentials RN ANP MSN
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jan 10th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982672085 NPPES
Texas MEDICAID 167025901

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