Provider Demographics
NPI:1528249968
Name:JAHNKE, JANET KAY (RN)
Entity type:Individual
Prefix:MS
First Name:JANET
Middle Name:KAY
Last Name:JAHNKE
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 1:375 COUNTY ROAD 1446
Mailing Address - Street 2:
Mailing Address - City:CENTER
Mailing Address - State:TX
Mailing Address - Zip Code:75935-5292
Mailing Address - Country:US
Mailing Address - Phone:936-591-6002
Mailing Address - Fax:
Practice Address - Street 1:375 COUNTY ROAD 1446
Practice Address - Street 2:
Practice Address - City:CENTER
Practice Address - State:TX
Practice Address - Zip Code:75935-5292
Practice Address - Country:US
Practice Address - Phone:936-591-6002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-14
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK27883163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse