Provider Demographics
NPI:1558311571
Name:DENAY, JANE M (CFNP)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:M
Last Name:DENAY
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560 W MITCHELL ST
Mailing Address - Street 2:STE 560
Mailing Address - City:PETOSKEY
Mailing Address - State:MI
Mailing Address - Zip Code:49770-2279
Mailing Address - Country:US
Mailing Address - Phone:231-487-2150
Mailing Address - Fax:231-487-6562
Practice Address - Street 1:560 W MITCHELL ST
Practice Address - Street 2:STE 560
Practice Address - City:PETOSKEY
Practice Address - State:MI
Practice Address - Zip Code:49770-2279
Practice Address - Country:US
Practice Address - Phone:231-487-2150
Practice Address - Fax:231-487-6562
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704137569363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI104319910Medicaid
MIJD137569OtherSTATE LISENCE NUMBER
MIJD137569OtherSTATE LISENCE NUMBER
MI104319910Medicaid
MI0N94540Medicare PIN