Individual
MS. JANALEE FRACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7949 MOLINE DRIVE, THURSTON, OH 43157-0353
(740) 407-6109
Mailing address
PO BOX 353, THURSTON, OH 43157-0353
(740) 407-6109
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN078367
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2173893
PROVIDER NUMBER
OH
Enumeration date
09/07/2006
Last updated
07/08/2007
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