Provider Demographics
NPI:1720524291
Name:NOE, JAANA (RN)
Entity type:Individual
Prefix:
First Name:JAANA
Middle Name:
Last Name:NOE
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 1:2350 S AVENUE 7 1/2 E
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85365-8603
Mailing Address - Country:US
Mailing Address - Phone:928-502-8600
Mailing Address - Fax:928-502-8675
Practice Address - Street 1:2350 S AVENUE 7 1/2 E
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85365-8603
Practice Address - Country:US
Practice Address - Phone:928-502-8600
Practice Address - Fax:928-502-8675
Is Sole Proprietor?:No
Enumeration Date:2017-01-09
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN078056163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse