Provider Demographics
NPI:1417224569
Name:KING, JANA FINEE
Entity Type:Individual
Prefix:MRS
First Name:JANA
Middle Name:FINEE
Last Name:KING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 436
Mailing Address - Street 2:
Mailing Address - City:ALLYN
Mailing Address - State:WA
Mailing Address - Zip Code:98524-0436
Mailing Address - Country:US
Mailing Address - Phone:360-801-5693
Mailing Address - Fax:
Practice Address - Street 1:1050 E WILSON WAY
Practice Address - Street 2:
Practice Address - City:GRAPEVIEW
Practice Address - State:WA
Practice Address - Zip Code:98546-9440
Practice Address - Country:US
Practice Address - Phone:360-801-5693
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-17
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula