Provider Demographics
NPI:1215526975
Name:DOZIER, JANELL MONE
Entity type:Individual
Prefix:
First Name:JANELL
Middle Name:MONE
Last Name:DOZIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3129 NELSON AVE
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44505-4330
Mailing Address - Country:US
Mailing Address - Phone:330-400-7382
Mailing Address - Fax:
Practice Address - Street 1:3129 NELSON AVE
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44505-4330
Practice Address - Country:US
Practice Address - Phone:330-400-7382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-15
Last Update Date:2023-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251J00000X, 261QU0200X, 282E00000X, 374U00000X, 390200000X
OH401542000613376K00000X
OH187682164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
No251J00000XAgenciesNursing Care
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No282E00000XHospitalsLong Term Care Hospital
No374U00000XNursing Service Related ProvidersHome Health Aide
No376K00000XNursing Service Related ProvidersNurse's Aide
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program