Provider Demographics
NPI:1013505049
Name:CRANK-PLESS, JANIE MAE
Entity Type:Individual
Prefix:
First Name:JANIE
Middle Name:MAE
Last Name:CRANK-PLESS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 MARYS GROVE CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:KINGS MOUNTAIN
Mailing Address - State:NC
Mailing Address - Zip Code:28086-9346
Mailing Address - Country:US
Mailing Address - Phone:704-418-0761
Mailing Address - Fax:
Practice Address - Street 1:414 MARYS GROVE CHURCH RD
Practice Address - Street 2:
Practice Address - City:KINGS MOUNTAIN
Practice Address - State:NC
Practice Address - Zip Code:28086-9346
Practice Address - Country:US
Practice Address - Phone:704-418-0761
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-05
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC238653163W00000X, 163WC1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1400XNursing Service ProvidersRegistered NurseCollege Health
No163W00000XNursing Service ProvidersRegistered Nurse