Provider Demographics
NPI:1508910910
Name:VALERO, JAYNE ALLYSON (RN)
Entity Type:Individual
Prefix:MRS
First Name:JAYNE
Middle Name:ALLYSON
Last Name:VALERO
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 1:72 ELDON AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43204-3703
Mailing Address - Country:US
Mailing Address - Phone:614-279-2571
Mailing Address - Fax:
Practice Address - Street 1:72 ELDON AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43204-3703
Practice Address - Country:US
Practice Address - Phone:614-279-2571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN265827163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2683823OtherINDEPENDENT PROVIDER