Richardson, Janice Renea
Richardson, Janice Renea is an individual health care provider with primary practice located at 1350 E Lancaster Ave Ste 100 , Fort Worth TX 76102-6671. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Richardson, Janice Renea can be contacted via phone (817) 702-8391.Contact Information
Primary practice address
1350 E Lancaster Ave Ste 100
Fort Worth TX 76102-6671
Phone: (817) 702-8391
Fax: (817) 702-4102
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | AP117208 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 601924 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 601924 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | AP117208 | Texas |
Profile Details
| NPI number | 1306110366 |
|---|---|
| LBN Legal business name | Richardson, Janice Renea |
| Credentials | AGNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2012 |
| Last updated | Sep 11th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306110366 | NPPES |
| Texas | Other | 8445NJ | BCBS |
| Texas | Other | 8920NK | BCBS |
| Texas | MEDICAID | 340549001 | BCBS |
| Texas | MEDICAID | 340549003 | BCBS |
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