Provider Demographics
NPI:1689771602
Name:MEARS, DEBORAH JANE (RN BSN)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:JANE
Last Name:MEARS
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 N UNIVERSITY STREET
Mailing Address - Street 2:JOHNSON HALL RM B-5
Mailing Address - City:WEST LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47907-2069
Mailing Address - Country:US
Mailing Address - Phone:765-494-6341
Mailing Address - Fax:765-496-1022
Practice Address - Street 1:502 N UNIVERSITY STREET
Practice Address - Street 2:JOHNSON HALL RM B-5
Practice Address - City:WEST LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47907-2069
Practice Address - Country:US
Practice Address - Phone:765-494-6341
Practice Address - Fax:765-496-1022
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INRN28074780A163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse