Provider Demographics
NPI:1386341642
Name:CADLE, JANICE MIKALYN
Entity type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:MIKALYN
Last Name:CADLE
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:JANICE
Other - Middle Name:MIKALYN
Other - Last Name:KILLILEA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14570 WINCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:ASHVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43103-9421
Mailing Address - Country:US
Mailing Address - Phone:614-327-3851
Mailing Address - Fax:
Practice Address - Street 1:420 N JAMES RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-1834
Practice Address - Country:US
Practice Address - Phone:614-388-7863
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-07
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.380287163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse