MRS. DRAGANA VUJIC KLJAIC AGACNP NPI 1346738986

NPI Information

NPI: 1346738986
Provider Name: MRS. DRAGANA VUJIC KLJAIC, AGACNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
1902 WINDSOR PL STE 102
FORT WORTH, TX
ZIP 76110
Phone: (682) 207-1700
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MRS. Dragana Vujic Kljaic, AGACNP is a gerontology nurse practitioner in Fort Worth, TX with 6 years of experience. MRS. Dragana Vujic Kljaic, AGACNP NPI is 1346738986. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1902 WINDSOR PL STE 102
FORT WORTH, TX
ZIP 76110-866
Phone: (682) 207-1700
Fax: (682) 250-5246

The NPI 1346738986 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/30/2018 and was last updated on 8/2/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		AP137105	TEXAS	No
2	363LA2100X	Nurse Practitioner	Acute Care	AP137105	TEXAS	No
3	363LG0600X	Nurse Practitioner	Gerontology	AP137105	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	387362201	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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