Provider Demographics
NPI:1790030435
Name:LUFF, JANE ELLEN (RN)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:ELLEN
Last Name:LUFF
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:PO BOX 1149
Mailing Address - Street 2:
Mailing Address - City:NEBO
Mailing Address - State:NC
Mailing Address - Zip Code:28761-0964
Mailing Address - Country:US
Mailing Address - Phone:828-659-3418
Mailing Address - Fax:
Practice Address - Street 1:1251 PINNACLE CHURCH ROAD
Practice Address - Street 2:
Practice Address - City:NEBO
Practice Address - State:NC
Practice Address - Zip Code:28761-5753
Practice Address - Country:US
Practice Address - Phone:828-659-3418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-18
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC129638163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse