Jane Ijeoma Amadi, FNP

Individual provider Active NPI Family Nurse Practitioner · Cedar Hill, TX

NPI 1235630724 · NPPES record last updated Jun 16, 2018

Key facts

NPI
1235630724
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
AP134879 (TX)
Practice address
1204 Bentgrass Cir
Cedar Hill, TX 75104-6904
Phone
(214) 293-7017
NPI assigned
Feb 21, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP134879 TX Yes

Addresses

Primary practice location

1204 Bentgrass Cir
Cedar Hill, TX 75104-6904

Mailing address

1204 Bentgrass Cir
Cedar Hill, TX 75104-6904
Phone (214) 293-7017

Other providers in Cedar Hill, TX

All providers in Cedar Hill, TX · Family Nurse Practitioner in Texas

Sources for this page

Verify at the official NPI Registry.