Provider Demographics
NPI:1942196217
Name:RUBLE, JANEEN RENEE
Entity type:Individual
Prefix:
First Name:JANEEN
Middle Name:RENEE
Last Name:RUBLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:286 RICHMOND RD
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:WV
Mailing Address - Zip Code:26704-8559
Mailing Address - Country:US
Mailing Address - Phone:304-359-1544
Mailing Address - Fax:
Practice Address - Street 1:286 RICHMOND RD
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:WV
Practice Address - Zip Code:26704-8559
Practice Address - Country:US
Practice Address - Phone:304-359-1544
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-14
Last Update Date:2025-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant