Provider Demographics
NPI:1619658226
Name:KAARA, JANE MUTHONI
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:MUTHONI
Last Name:KAARA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7352 RED FOX RD
Mailing Address - Street 2:
Mailing Address - City:BAILEY
Mailing Address - State:NC
Mailing Address - Zip Code:27807-8666
Mailing Address - Country:US
Mailing Address - Phone:774-262-8208
Mailing Address - Fax:
Practice Address - Street 1:7352 RED FOX RD
Practice Address - Street 2:
Practice Address - City:BAILEY
Practice Address - State:NC
Practice Address - Zip Code:27807-8666
Practice Address - Country:US
Practice Address - Phone:774-262-8208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-26
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA735120251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care