Provider Demographics
NPI:1558592477
Name:BURNETTE, JANA LU (RN)
Entity Type:Individual
Prefix:MRS
First Name:JANA
Middle Name:LU
Last Name:BURNETTE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:JANA
Other - Middle Name:LU
Other - Last Name:HESSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:4779 BURDSALL RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45176-6556
Mailing Address - Country:US
Mailing Address - Phone:513-724-0284
Mailing Address - Fax:
Practice Address - Street 1:4779 BURDSALL RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:OH
Practice Address - Zip Code:45176-6556
Practice Address - Country:US
Practice Address - Phone:513-724-0284
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-28
Last Update Date:2009-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN221403163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health