Provider Demographics
NPI:1033459482
Name:PIRKLE, JEANETTE SUSAN (APRN, NP-C)
Entity Type:Individual
Prefix:MRS
First Name:JEANETTE
Middle Name:SUSAN
Last Name:PIRKLE
Suffix:
Gender:F
Credentials:APRN, NP-C
Other - Prefix:MISS
Other - First Name:JEANETTE
Other - Middle Name:SUSAN
Other - Last Name:CRANDALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 658
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30503-0658
Mailing Address - Country:US
Mailing Address - Phone:770-718-1122
Mailing Address - Fax:770-533-4786
Practice Address - Street 1:725 JESSE JEWELL PKWY SE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-3834
Practice Address - Country:US
Practice Address - Phone:770-297-5700
Practice Address - Fax:770-718-1877
Is Sole Proprietor?:No
Enumeration Date:2013-02-21
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN160182 NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily