Sprout, Janis

Sprout, Janis is an individual health care provider with primary practice located at 900 West Magnolia Ave Ste. 100, Fort Worth TX 76104. 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. Sprout, Janis can be contacted via phone (817) 870-7300.

Contact Information

Primary practice address
900 West Magnolia Ave Ste. 100 Fort Worth TX 76104
Fax: (817) 332-8372
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 248840 Texas

Profile Details

NPI number 1699806828
LBN Legal business name Sprout, Janis
Credentials ANP, GNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Nov 12th, 2010 - about 14 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 1699806828 NPPES
Texas Other 248840 LICENSE

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