Provider Demographics
NPI:1881833135
Name:NEARY, JEANNE LYNN (RN, BSN)
Entity Type:Individual
Prefix:MS
First Name:JEANNE
Middle Name:LYNN
Last Name:NEARY
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 1:5111 WESTON WAY
Mailing Address - Street 2:
Mailing Address - City:GRANITE BAY
Mailing Address - State:CA
Mailing Address - Zip Code:95746-6434
Mailing Address - Country:US
Mailing Address - Phone:916-791-1474
Mailing Address - Fax:
Practice Address - Street 1:5111 WESTON WAY
Practice Address - Street 2:
Practice Address - City:GRANITE BAY
Practice Address - State:CA
Practice Address - Zip Code:95746-6434
Practice Address - Country:US
Practice Address - Phone:916-791-1474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-10
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA305564163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse