Jeanette Marie Borer, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN.135777-M-IV Issued in OH

Practice address

2559 S County Road 15
Tiffin, OH 44883-8437

Phone

(419) 455-4943

NPI assigned

Nov 3, 2010

Last updated

Nov 3, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288742400000",
    "number": "1275834541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2559 S COUNTY ROAD 15",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448838437",
            "telephone_number": "419-455-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2559 S COUNTY ROAD 15",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448838437",
            "telephone_number": "419-455-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORER",
        "first_name": "JEANETTE",
        "middle_name": "MARIE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-03",
        "last_updated": "2010-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN.135777-M-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Bockbrader, PT, DPT
• Christine K Boes, OT
• Shannan Marie Boes, RPH
• Jill E Bogard, RPH
• Jessica Leian Boggs, ATC
• Rachel Rose Bores
• Stacy Lea Borgio, OTR/L
• James Frederick Bosse, D.O.
• Joshua Bower, LISW
• Ashton Bowerman, OTR/L

• Licensed Practical Nurse in Tiffin, OH
• Providers in Tiffin, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.