Provider Demographics
NPI:1619085719
Name:BISCAN-BANKS, JANICE L (APRN,BC)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:L
Last Name:BISCAN-BANKS
Suffix:
Gender:F
Credentials:APRN,BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIRSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43950-7713
Mailing Address - Country:US
Mailing Address - Phone:740-695-5207
Mailing Address - Fax:740-695-4116
Practice Address - Street 1:106 PLAZA DR
Practice Address - Street 2:
Practice Address - City:SAINT CLAIRSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43950-6700
Practice Address - Country:US
Practice Address - Phone:740-695-5207
Practice Address - Fax:740-695-4116
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV33491363L00000X
OH12882-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0064249Medicaid
WV7101215000Medicaid
WVWV7405AMedicare PIN