Provider Demographics
NPI:1841437993
Name:SPEARS, JANELLA M (RN-C)
Entity type:Individual
Prefix:MRS
First Name:JANELLA
Middle Name:M
Last Name:SPEARS
Suffix:
Gender:F
Credentials:RN-C
Other - Prefix:MRS
Other - First Name:JAN
Other - Middle Name:M
Other - Last Name:SPEARS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN-C
Mailing Address - Street 1:PO BOX 255
Mailing Address - Street 2:5401 POPLAR ST
Mailing Address - City:FOSTER
Mailing Address - State:OR
Mailing Address - Zip Code:97345-0255
Mailing Address - Country:US
Mailing Address - Phone:541-367-8012
Mailing Address - Fax:541-367-8012
Practice Address - Street 1:5401 POPLAR ST
Practice Address - Street 2:
Practice Address - City:FOSTER
Practice Address - State:OR
Practice Address - Zip Code:97345-0255
Practice Address - Country:US
Practice Address - Phone:541-367-8012
Practice Address - Fax:541-367-8012
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-12
Last Update Date:2009-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR82008087374T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374T00000XNursing Service Related ProvidersReligious Nonmedical Nursing Personnel