Provider Demographics
NPI:1346412004
Name:THOMAS, JANELLE LYNN (RN)
Entity Type:Individual
Prefix:MRS
First Name:JANELLE
Middle Name:LYNN
Last Name:THOMAS
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 1:1810 SUNNY CT
Mailing Address - Street 2:
Mailing Address - City:MOSINEE
Mailing Address - State:WI
Mailing Address - Zip Code:54455-7813
Mailing Address - Country:US
Mailing Address - Phone:715-573-6968
Mailing Address - Fax:
Practice Address - Street 1:1810 SUNNY CT
Practice Address - Street 2:
Practice Address - City:MOSINEE
Practice Address - State:WI
Practice Address - Zip Code:54455-7813
Practice Address - Country:US
Practice Address - Phone:715-573-6968
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-02
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse