Jane Pearson, RN

Individual provider Active NPI General Practice Registered Nurse · Lagrange, OH

NPI 1225744006 · NPPES record last updated Jan 25, 2023

Key facts

NPI
1225744006
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Registered Nurse 163WG0000X
License
418135 (OH)
Practice address
40302 Biggs Rd
Lagrange, OH 44050-9791
Phone
(440) 731-2209
NPI assigned
Jan 25, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
418135OHMDGeneral Practice Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 418135 OH Yes

Addresses

Primary practice location

40302 Biggs Rd
Lagrange, OH 44050-9791

Mailing address

40302 Biggs Rd
Lagrange, OH 44050-9791
Phone (440) 731-2209

Other providers in Lagrange, OH

All providers in Lagrange, OH · General Practice Registered Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.