Provider Demographics
NPI:1215987656
Name:NESS, JAN M (RPH)
Entity type:Individual
Prefix:MS
First Name:JAN
Middle Name:M
Last Name:NESS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7001 HIGHWAY 83 N
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58703-0240
Mailing Address - Country:US
Mailing Address - Phone:701-839-7804
Mailing Address - Fax:
Practice Address - Street 1:7001 HIGHWAY 83 N
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58703-0240
Practice Address - Country:US
Practice Address - Phone:701-839-7804
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND3723183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist