Provider Demographics
NPI:1457837155
Name:JN NURSING REGISTRY, INC.
Entity Type:Organization
Organization Name:JN NURSING REGISTRY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-330-6530
Mailing Address - Street 1:10 FAIRWAY DR STE 122
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-1803
Mailing Address - Country:US
Mailing Address - Phone:954-832-3614
Mailing Address - Fax:561-330-6526
Practice Address - Street 1:10 FAIRWAY DR STE 122
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-1803
Practice Address - Country:US
Practice Address - Phone:954-832-3614
Practice Address - Fax:561-330-6526
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JN NURSING REGISTRY, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-07-16
Last Update Date:2018-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30211479251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL022141700Medicaid