Provider Demographics
NPI:1649398983
Name:ATKIN, JANICE E (RN)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:E
Last Name:ATKIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10822 LIMING VAN THOMPSON RD
Mailing Address - Street 2:
Mailing Address - City:HAMERSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45130-9504
Mailing Address - Country:US
Mailing Address - Phone:937-379-2186
Mailing Address - Fax:
Practice Address - Street 1:10822 LIMING VAN THOMPSON RD
Practice Address - Street 2:
Practice Address - City:HAMERSVILLE
Practice Address - State:OH
Practice Address - Zip Code:45130-9504
Practice Address - Country:US
Practice Address - Phone:937-379-2186
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2651581163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2651581Medicaid