Provider Demographics
NPI:1760359970
Name:JANER, SARA NICOLE (NP)
Entity type:Individual
Prefix:MS
First Name:SARA
Middle Name:NICOLE
Last Name:JANER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 RIVERPOINTE DR UNIT 2
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:KY
Mailing Address - Zip Code:41074-6313
Mailing Address - Country:US
Mailing Address - Phone:513-430-5998
Mailing Address - Fax:
Practice Address - Street 1:440 RIVERPOINTE DR UNIT 2
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:KY
Practice Address - Zip Code:41074-6313
Practice Address - Country:US
Practice Address - Phone:513-430-5998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-21
Last Update Date:2025-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYCNP.4044319363L00000X
OHCNP.0039767363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner