Provider Demographics
NPI:1669435764
Name:CANNING, JAMI RANEE (LPN)
Entity type:Individual
Prefix:MRS
First Name:JAMI
Middle Name:RANEE
Last Name:CANNING
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 1:361 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:43031-1144
Mailing Address - Country:US
Mailing Address - Phone:740-809-8016
Mailing Address - Fax:
Practice Address - Street 1:361 SUNSET DR
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:OH
Practice Address - Zip Code:43031-1144
Practice Address - Country:US
Practice Address - Phone:740-809-8016
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN114027164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2444966Medicaid