Provider Demographics
NPI:1194817700
Name:NESS, JANET MARIE (ARNP)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:MARIE
Last Name:NESS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MS
Other - First Name:JANET
Other - Middle Name:MARIE
Other - Last Name:RANDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:77 WAINWRIGHT DR.
Mailing Address - Street 2:JONATHAN M. WAINWRIGHT MEDICAL CENTER
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362
Mailing Address - Country:US
Mailing Address - Phone:509-525-5200
Mailing Address - Fax:907-260-3697
Practice Address - Street 1:717 FRUITVALE BLVD
Practice Address - Street 2:YAKIMA COMMUNITY BASED OUTPT. CLINIC (CBOC)
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902
Practice Address - Country:US
Practice Address - Phone:509-966-0199
Practice Address - Fax:509-966-4266
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2012-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK737363LP0808X
WAAP60095267363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKRH177FQMedicaid
AKMH0156Medicaid
AK0000WCGTWMedicare ID - Type UnspecifiedPART B
AKMH0156Medicaid
AK021819Medicare Oscar/Certification