Provider Demographics
NPI:1114756129
Name:SANDERS, JANEY A (RN)
Entity type:Individual
Prefix:
First Name:JANEY
Middle Name:A
Last Name:SANDERS
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 1:1706 ART MUSEUM DR APT I8
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32207-2158
Mailing Address - Country:US
Mailing Address - Phone:904-713-5628
Mailing Address - Fax:
Practice Address - Street 1:1706 ART MUSEUM DR APT I8
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-2158
Practice Address - Country:US
Practice Address - Phone:904-713-5628
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9547210163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse