Provider Demographics
NPI:1760290829
Name:LOZANO, JUAN JESUS ABEL (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:JUAN
Middle Name:JESUS ABEL
Last Name:LOZANO
Suffix:
Gender:M
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2506 NICOLE DR
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78574-6602
Mailing Address - Country:US
Mailing Address - Phone:956-566-6140
Mailing Address - Fax:
Practice Address - Street 1:3001 N 23RD ST STE 6
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-6179
Practice Address - Country:US
Practice Address - Phone:956-630-7273
Practice Address - Fax:956-630-7274
Is Sole Proprietor?:No
Enumeration Date:2024-12-20
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1183218363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily