Provider Demographics
NPI:1447448162
Name:ROCHETTE, JANA WILLIS (BSN, RN, CWOCN)
Entity type:Individual
Prefix:MS
First Name:JANA
Middle Name:WILLIS
Last Name:ROCHETTE
Suffix:
Gender:F
Credentials:BSN, RN, CWOCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2335 SAINT ANDREWS CIR
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32901-5858
Mailing Address - Country:US
Mailing Address - Phone:321-536-6954
Mailing Address - Fax:
Practice Address - Street 1:2335 SAINT ANDREWS CIR
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-5858
Practice Address - Country:US
Practice Address - Phone:321-536-6954
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2166772163WE0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0900XNursing Service ProvidersRegistered NurseEnterostomal Therapy