JANILE SUSAN KENNEDY LICENSED NURSE NPI 1477931269

NPI Information

NPI: 1477931269
Provider Name: JANILE SUSAN KENNEDY, LICENSED NURSE
Classification: Clinic/Center - 261Q00000X
Entity Type: Individual
Address:
108 YELLOW CREEK RD
EVANSTON, WY
ZIP 82930
Phone: (307) 789-2652
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Janile Susan Kennedy, LICENSED NURSE is a clinic center in Evanston, WY. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). Janile Susan Kennedy, LICENSED NURSE NPI is 1477931269. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

108 YELLOW CREEK RD
EVANSTON, WY
ZIP 82930-234
Phone: (307) 789-2652
Fax: (307) 789-6227

The enumeration date for this NPI number is 5/12/2015 and was last updated on 5/12/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	164W00000X	Licensed Practical Nurse		4838	WYOMING	No
2	261Q00000X	Clinic/Center		190032638 A	WYOMING	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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