Provider Demographics
NPI:1275841330
Name:STALLINGS, JANNA KAY (RN)
Entity Type:Individual
Prefix:
First Name:JANNA
Middle Name:KAY
Last Name:STALLINGS
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 1:127 DELFAE DR
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:VA
Mailing Address - Zip Code:22572-4290
Mailing Address - Country:US
Mailing Address - Phone:804-333-1488
Mailing Address - Fax:
Practice Address - Street 1:127 DELFAE DR
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:VA
Practice Address - Zip Code:22572-4290
Practice Address - Country:US
Practice Address - Phone:804-333-1488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-22
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001151398163W00000X
DCRN1019438163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse