Individual
JANE O'DONNELL
Active
Individual
JANE O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
253734
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F380436
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026525401
UNIVERA
—
01
—
000560727001
BC/BS
—
05
—
02313808
—
NY
01
—
040426002947
FIDELIS
—
01
—
9511762
IHA
—
Enumeration date
10/21/2006
Last updated
09/30/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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