Provider Demographics
NPI:1801129770
Name:WOLFE, JANIE LYNN (RN)
Entity type:Individual
Prefix:MRS
First Name:JANIE
Middle Name:LYNN
Last Name:WOLFE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:574 WARNER AVE
Mailing Address - Street 2:
Mailing Address - City:LOGAN
Mailing Address - State:OH
Mailing Address - Zip Code:43138-1582
Mailing Address - Country:US
Mailing Address - Phone:740-385-0352
Mailing Address - Fax:740-380-3481
Practice Address - Street 1:574 WARNER AVE
Practice Address - Street 2:
Practice Address - City:LOGAN
Practice Address - State:OH
Practice Address - Zip Code:43138-1582
Practice Address - Country:US
Practice Address - Phone:740-385-0352
Practice Address - Fax:740-380-3481
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-10
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.250028163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse