Doctor Name: | JESSICA JANEY |
NPI Number: | 1376939447 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | R215522 |
Business Practice Address: | 957 National Hwy Lavale, MD - 215027356 |
Business Phone Number: | 3017299475 |
Business Fax Number: | 3017299474 |
Mailing Address: | 957 National Hwy, LAVALE |
State: | MD |
Postal Code: | 215027356 |
Phone Number: | 3017299475 |
Fax Number: | 3017299474 |
NPI Enumeration Date: | 04/15/2015 |
NPI Last Update Date: | 04/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WG0000X |
License Number: | R215522 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | General Practice |
Taxonomy Definition: |