Jana Porteus, FNP
Nurse Practitioner, Family in Phoenix, AZ. Individual provider (NPI-1).
NPI number1407091978
StatusActive
Last updated in NPPESApr 9, 2021
Details
- NPI
- 1407091978
- Entity type
- Individual (NPI-1)
- Name
- Jana Porteus
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 11, 2008
- Certification date
- Apr 9, 2021
- Last updated
- Apr 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP4827 | AZ | Yes |
| 163W00000X | Registered Nurse | 161156 | WI | |
| 363LF0000X | Nurse Practitioner, Family | 3644 | WI |
Practice location
1331 N 7th StSte 375
Phoenix, AZ 85006-2754
Phone 602-307-0070 · Fax 602-307-0080
Mailing address
1331 N 7th StSte 375
Phoenix, AZ 85006-2754
Phone 602-307-0070 · Fax 602-307-0080
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