Individual
MRS. JAN D RASNAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1785 W. LEE HWY, WYTHEVILLE, VA 24382
(276) 228-6499
(276) 228-6145
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
(423) 282-1657
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024164227
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356651897
—
VA
Enumeration date
10/18/2010
Last updated
04/08/2025
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