Provider Demographics
NPI:1326267717
Name:O'BRIEN, JANET M (RN, PSC)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:M
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:RN, PSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 CHEVY LN
Mailing Address - Street 2:
Mailing Address - City:GLASGOW
Mailing Address - State:KY
Mailing Address - Zip Code:42141-8062
Mailing Address - Country:US
Mailing Address - Phone:270-646-7988
Mailing Address - Fax:270-678-5003
Practice Address - Street 1:181 CHEVY LN
Practice Address - Street 2:
Practice Address - City:GLASGOW
Practice Address - State:KY
Practice Address - Zip Code:42141-8062
Practice Address - Country:US
Practice Address - Phone:270-646-7988
Practice Address - Fax:270-678-5003
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1087304163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management