Provider Demographics
NPI:1366325672
Name:LANE, JEFF (MSN)
Entity type:Individual
Prefix:
First Name:JEFF
Middle Name:
Last Name:LANE
Suffix:
Gender:M
Credentials:MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10315 PROFESSIONAL CIR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-4802
Mailing Address - Country:US
Mailing Address - Phone:775-515-5308
Mailing Address - Fax:775-515-5308
Practice Address - Street 1:10315 PROFESSIONAL CIR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-4802
Practice Address - Country:US
Practice Address - Phone:775-515-5308
Practice Address - Fax:775-515-5308
Is Sole Proprietor?:No
Enumeration Date:2025-07-26
Last Update Date:2025-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN293239163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management