Wellformed AI

NPI 1760778161 · live from the CMS NPI Registry

Jana C Brazil, WHNP

Nurse Practitioner, Obstetrics & Gynecology in Lufkin, TX. National Provider Identifier 1760778161, active.

NPI record

NPI1760778161 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Obstetrics & Gynecology 363LX0001X
Practice location402 Gaslight Blvd, Lufkin, TX 75904
Practice phone936-699-7575
Mailing addressPo Box 151420, Lufkin, TX 75915
EnumeratedJune 23, 2011
Last updatedFebruary 27, 2017
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Obstetrics & Gynecology primary363LX0001X649524 (TX)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.