Provider Demographics
NPI:1790565653
Name:VON DOHRE, JANE (RN)
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:
Last Name:VON DOHRE
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 1:5200 LINDBERGH BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST CARROLLTON
Mailing Address - State:OH
Mailing Address - Zip Code:45449-2741
Mailing Address - Country:US
Mailing Address - Phone:937-371-6793
Mailing Address - Fax:
Practice Address - Street 1:5200 LINDBERGH BLVD
Practice Address - Street 2:
Practice Address - City:WEST CARROLLTON
Practice Address - State:OH
Practice Address - Zip Code:45449-2741
Practice Address - Country:US
Practice Address - Phone:937-371-6793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-29
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN229341163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty