1063407120 NPI number — MS. JANET FINKBEINER JANKOWSKI RN, MS, FNP

Table of content: MS. JANET FINKBEINER JANKOWSKI RN, MS, FNP (NPI 1063407120)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063407120 NPI number — MS. JANET FINKBEINER JANKOWSKI RN, MS, FNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JANKOWSKI
Provider First Name:
JANET
Provider Middle Name:
FINKBEINER
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
RN, MS, FNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1063407120
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1109 WINDREEF CIR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OKEMOS
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48864-3454
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
517-349-7958
Provider Business Mailing Address Fax Number:
517-349-7019

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3333 S PENNSYLVANIA AVE
Provider Second Line Business Practice Location Address:
#200
Provider Business Practice Location Address City Name:
LANSING
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48910-4795
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
517-393-4900
Provider Business Practice Location Address Fax Number:
517-349-7019
Provider Enumeration Date:
09/14/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  4704108370 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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