Provider Demographics
NPI:1225641517
Name:NELMS, JANETTE MARIE (RN)
Entity Type:Individual
Prefix:MRS
First Name:JANETTE
Middle Name:MARIE
Last Name:NELMS
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:PO BOX 187
Mailing Address - Street 2:
Mailing Address - City:BARTLEY
Mailing Address - State:NE
Mailing Address - Zip Code:69020-0187
Mailing Address - Country:US
Mailing Address - Phone:308-692-3223
Mailing Address - Fax:
Practice Address - Street 1:900 COKE ST
Practice Address - Street 2:
Practice Address - City:BARTLEY
Practice Address - State:NE
Practice Address - Zip Code:69020-2051
Practice Address - Country:US
Practice Address - Phone:308-692-3223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-26
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE59183163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse