Provider Demographics
NPI:1346349982
Name:DEVANE, JANE REED (RD CDE)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:REED
Last Name:DEVANE
Suffix:
Gender:F
Credentials:RD CDE
Other - Prefix:
Other - First Name:JANE
Other - Middle Name:REED
Other - Last Name:DEVANE-BELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD CDE
Mailing Address - Street 1:411 OAK ST
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-2598
Mailing Address - Country:US
Mailing Address - Phone:513-984-1800
Mailing Address - Fax:513-984-4909
Practice Address - Street 1:411 OAK ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-2598
Practice Address - Country:US
Practice Address - Phone:513-984-1800
Practice Address - Fax:513-984-4909
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDO1387133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered