Provider Demographics
NPI:1932319506
Name:THORNTON, JANICE PATRICE (ADMINISTRATOR)
Entity Type:Individual
Prefix:MISS
First Name:JANICE
Middle Name:PATRICE
Last Name:THORNTON
Suffix:
Gender:F
Credentials:ADMINISTRATOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 PERSON ST
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27565-3732
Mailing Address - Country:US
Mailing Address - Phone:919-693-7656
Mailing Address - Fax:
Practice Address - Street 1:308 PERSON ST
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:NC
Practice Address - Zip Code:27565-3732
Practice Address - Country:US
Practice Address - Phone:919-693-7656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCFCL-039-006376G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376G00000XNursing Service Related ProvidersNursing Home Administrator