Provider Demographics
NPI:1750537361
Name:ELKINS, JANINE ELAINE (LPN)
Entity type:Individual
Prefix:
First Name:JANINE
Middle Name:ELAINE
Last Name:ELKINS
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 1:7108 LARDON RD NW
Mailing Address - Street 2:
Mailing Address - City:WAYNESBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44688-9604
Mailing Address - Country:US
Mailing Address - Phone:330-863-4057
Mailing Address - Fax:330-863-0419
Practice Address - Street 1:7108 LARDON RD NW
Practice Address - Street 2:
Practice Address - City:WAYNESBURG
Practice Address - State:OHIO
Practice Address - Zip Code:44688 9604
Practice Address - Country:UM
Practice Address - Phone:330-863-4057
Practice Address - Fax:330-863-0419
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-14
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN081407164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse