Provider Demographics
NPI:1962721126
Name:MCCABE, JANET KAY (RN)
Entity type:Individual
Prefix:MISS
First Name:JANET
Middle Name:KAY
Last Name:MCCABE
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 1:510 W HARDING RD APT E
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45504-1720
Mailing Address - Country:US
Mailing Address - Phone:937-399-7107
Mailing Address - Fax:
Practice Address - Street 1:510 W HARDING RD APT E
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45504-1720
Practice Address - Country:US
Practice Address - Phone:937-399-7107
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-26
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health