Provider Demographics
NPI:1730612631
Name:ISAT, JANET (APRN, CPNP,IBCLC)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:ISAT
Suffix:
Gender:F
Credentials:APRN, CPNP,IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 844658
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-4658
Mailing Address - Country:US
Mailing Address - Phone:254-724-8800
Mailing Address - Fax:
Practice Address - Street 1:6684 W ADAMS AVE
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76502-5632
Practice Address - Country:US
Practice Address - Phone:254-899-4200
Practice Address - Fax:254-899-4205
Is Sole Proprietor?:No
Enumeration Date:2017-04-06
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP133563363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics