Provider Demographics
NPI:1487936811
Name:STANLEY, JAN MARTIN (RN)
Entity type:Individual
Prefix:MS
First Name:JAN
Middle Name:MARTIN
Last Name:STANLEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3351 ASPEN GROVE DR
Mailing Address - Street 2:SUITE 350
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-2909
Mailing Address - Country:US
Mailing Address - Phone:615-472-1795
Mailing Address - Fax:615-472-1797
Practice Address - Street 1:3351 ASPEN GROVE DR
Practice Address - Street 2:SUITE 350
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-2909
Practice Address - Country:US
Practice Address - Phone:615-472-1795
Practice Address - Fax:615-472-1797
Is Sole Proprietor?:No
Enumeration Date:2011-09-12
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000131675163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse