Provider Demographics
NPI:1093474793
Name:JAPADJIEF, JANE ANN (RN)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:ANN
Last Name:JAPADJIEF
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:262 W FERRY ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14213-1815
Mailing Address - Country:US
Mailing Address - Phone:716-883-8787
Mailing Address - Fax:716-883-3510
Practice Address - Street 1:110 CLAREMONT AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14223-2908
Practice Address - Country:US
Practice Address - Phone:716-597-6077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-10
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY317412-1163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health