Zdanuk Dodd, Janette M
Zdanuk Dodd, Janette M is an individual health care provider with primary practice located at 1301 W 7Th St Suite 121, Fort Worth TX 76102-2651. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Zdanuk Dodd, Janette M can be contacted via phone (817) 348-0425.Contact Information
Primary practice address
1301 W 7Th St Suite 121
Fort Worth TX 76102-2651
Phone: (817) 348-0425
Fax: (817) 348-0455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 445715 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 445715 | Texas |
Profile Details
| NPI number | 1285636043 |
|---|---|
| LBN Legal business name | Zdanuk Dodd, Janette M |
| Credentials | DNP, FNP, CWS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | May 1st, 2023 - about 3 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 | 1285636043 | NPPES |
| Texas | Other | 1122640-04 | MEDICAID TPI |
| Texas | Other | 8F21186 | MEDICAID TPI |
| Texas | Other | 01269303 | MEDICAID TPI |
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