Provider Demographics
NPI:1437453586
Name:DAVIS HUNLEY, JANEL JACELYN (LPN)
Entity Type:Individual
Prefix:MRS
First Name:JANEL
Middle Name:JACELYN
Last Name:DAVIS HUNLEY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MRS
Other - First Name:JANEL
Other - Middle Name:JACELYN
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:75 MEADOW FARM S
Mailing Address - Street 2:
Mailing Address - City:NORTH CHILI
Mailing Address - State:NY
Mailing Address - Zip Code:14514-1302
Mailing Address - Country:US
Mailing Address - Phone:585-615-2467
Mailing Address - Fax:
Practice Address - Street 1:75 MEADOW FARM S
Practice Address - Street 2:
Practice Address - City:NORTH CHILI
Practice Address - State:NY
Practice Address - Zip Code:14514-1302
Practice Address - Country:US
Practice Address - Phone:585-615-2467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-04
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY278262164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse