Provider Demographics
NPI:1205093820
Name:STATON, JANNA (LPN)
Entity type:Individual
Prefix:MS
First Name:JANNA
Middle Name:
Last Name:STATON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1509 JOSHUA RUN RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-6436
Mailing Address - Country:US
Mailing Address - Phone:614-403-1464
Mailing Address - Fax:
Practice Address - Street 1:1509 JOSHUA RUN RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-6436
Practice Address - Country:US
Practice Address - Phone:614-403-1464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH125590164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse