Provider Demographics
NPI:1609198902
Name:PIERCE, JANNE J (LPN)
Entity Type:Individual
Prefix:MS
First Name:JANNE
Middle Name:J
Last Name:PIERCE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MS
Other - First Name:JANNE
Other - Middle Name:J
Other - Last Name:WILSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1015
Mailing Address - Street 2:
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13902-1015
Mailing Address - Country:US
Mailing Address - Phone:607-734-3658
Mailing Address - Fax:
Practice Address - Street 1:221 W CHURCH ST
Practice Address - Street 2:
Practice Address - City:ELMIRA
Practice Address - State:NY
Practice Address - Zip Code:14901-2749
Practice Address - Country:US
Practice Address - Phone:607-734-3658
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-27
Last Update Date:2010-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY274681-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse