| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JANICE BLANN | 1780237255 | 2024-04-05 |
Janice Blann is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1780237255. Registration indicates Janice Blann is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Acute Care, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Acute Care, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Janice Blann NP |
| Practice Office Address | 9200 N CENTRAL AVE STE 2 PHOENIX, AZ US |
| Practice Office Telephone | 4809994954 |
| Practice Office Fax | 4809994712 |
| Mailing Address | 14840 N 21ST ST PHOENIX, AZ 850224115 US |
| Address | City / State | Phone / Fax |
|---|---|---|
| 9200 N Central Ave Ste 2 | Phoenix, AZ 850202463 | 4809994954 / 4809994712 |
| Code | Practice | License No State |
|---|---|---|
| 363LA2100X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Acute Care All Other Specialties & Provider Types Nurse Practitioner Acute Care Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 227742
AZ |
| 561715 | MEDICAID | AZ | |
| 227742 | OTHER | AZ | ARIZONA NURISNG |