Provider Demographics
NPI:1235415423
Name:ADAMS, JANIS E (RN)
Entity Type:Individual
Prefix:
First Name:JANIS
Middle Name:E
Last Name:ADAMS
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 1:24635 PRISCILLA DR
Mailing Address - Street 2:
Mailing Address - City:DANA POINT
Mailing Address - State:CA
Mailing Address - Zip Code:92629-1031
Mailing Address - Country:US
Mailing Address - Phone:949-922-1512
Mailing Address - Fax:949-496-4623
Practice Address - Street 1:32565B GOLDEN LANTERN ST # 286
Practice Address - Street 2:
Practice Address - City:DANA POINT
Practice Address - State:CA
Practice Address - Zip Code:92629-3248
Practice Address - Country:US
Practice Address - Phone:949-922-1512
Practice Address - Fax:949-496-4623
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-01
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA323192163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse