Provider Demographics
NPI:1700608346
Name:COLE, JANA LYNNE (RN)
Entity type:Individual
Prefix:
First Name:JANA
Middle Name:LYNNE
Last Name:COLE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:JANA
Other - Middle Name:LYNNE
Other - Last Name:SANDERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2220 33RD CT
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98273-8937
Mailing Address - Country:US
Mailing Address - Phone:360-610-1439
Mailing Address - Fax:
Practice Address - Street 1:2220 33RD CT
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273-8937
Practice Address - Country:US
Practice Address - Phone:360-610-1439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-25
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60453384163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse