Provider Demographics
NPI:1851924963
Name:FRENCH, JANINE (RN)
Entity Type:Individual
Prefix:MRS
First Name:JANINE
Middle Name:
Last Name:FRENCH
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 1:73 ELMHURST AVE
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11763-3610
Mailing Address - Country:US
Mailing Address - Phone:631-569-5183
Mailing Address - Fax:
Practice Address - Street 1:73 ELMHURST AVE
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:NY
Practice Address - Zip Code:11763-3610
Practice Address - Country:US
Practice Address - Phone:631-569-5183
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-17
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY777568-01163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse