Provider Demographics
NPI:1841865417
Name:PAUL, JANINE LEANN (HHA)
Entity type:Individual
Prefix:
First Name:JANINE
Middle Name:LEANN
Last Name:PAUL
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5061 FLAMINGO RD
Mailing Address - Street 2:
Mailing Address - City:PAHRUMP
Mailing Address - State:NV
Mailing Address - Zip Code:89048-5171
Mailing Address - Country:US
Mailing Address - Phone:775-537-8390
Mailing Address - Fax:
Practice Address - Street 1:5061 FLAMINGO RD
Practice Address - Street 2:
Practice Address - City:PAHRUMP
Practice Address - State:NV
Practice Address - Zip Code:89048-5171
Practice Address - Country:US
Practice Address - Phone:775-537-8390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-25
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2021296P374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide