Provider Demographics
NPI:1235639758
Name:KUEHNE, JANA PRICE (RN, BSN)
Entity Type:Individual
Prefix:
First Name:JANA
Middle Name:PRICE
Last Name:KUEHNE
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8436 CREEKBLUFF DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75249-3610
Mailing Address - Country:US
Mailing Address - Phone:214-914-3983
Mailing Address - Fax:214-954-7450
Practice Address - Street 1:8436 CREEKBLUFF DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75249-3610
Practice Address - Country:US
Practice Address - Phone:214-914-3983
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-21
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX729620163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX729620OtherBON TX
04054966OtherASCP PBT