Jana Kaye Witherspoon, is a
Registered Nurse based in Portland, Texas. Jana Kaye Witherspoon is licensed to practice in Texas (license number 227133) and her current practice location is
306 Broadway Blvd, Portland, Texas. She can be reached at her office (for appointments etc.) via phone at
(870) 577-3274.
NPI number for Jana Kaye Witherspoon is 1710508635 and her current mailing address is 306 Broadway Blvd, Portland, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710508635.
Provider's Profile
Full Name | Jana Kaye Witherspoon |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 306 Broadway Blvd, Portland, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710508635
- Provider Enumeration Date: 05/01/2020
- Last Update Date: 05/01/2020
Medical Identifiers
Medical identifiers for Jana Kaye Witherspoon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710508635 | NPI | - | NPPES |
080581114 | Other | CO | DRIVERS LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 227133 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jana Kaye Witherspoon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jana Kaye Witherspoon, 306 Broadway Blvd, Portland, TX 78374-1301 Ph: (870) 577-3274 | Jana Kaye Witherspoon, 306 Broadway Blvd, Portland, TX 78374-1301 Ph: (870) 577-3274 |
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