MEDICARE: JANE FEMALE (F) SANDERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN.507699	OH

General Provider Information

NPI Number	:	1770448003
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANE FEMALE (F) SANDERS

Provider Business Mailing Address
First Line	:	PO BOX 374
Second Line	:
City	:	GROVE CITY
State	:	OH
Zip	:	43123-0374
Country	:	US
Telephone Number	:	614-641-8414
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 374
Second Line	:
City	:	GROVE CITY
State	:	OH
Zip	:	43123-0374
Country	:	US
Telephone Number	:	614-641-8414
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2025
Last Update Date	:	12/18/2025

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Directions to “ JANE FEMALE (F) SANDERS ” Practice Location

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