Provider Demographics
NPI:1114454857
Name:GAR, JANET (NP-C)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:GAR
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1319 BELL RIDGE RD APT 703
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37601-8021
Mailing Address - Country:US
Mailing Address - Phone:423-328-6013
Mailing Address - Fax:
Practice Address - Street 1:1319 BELL RIDGE RD APT 703
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37601-8021
Practice Address - Country:US
Practice Address - Phone:423-328-6013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-12
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNF1216057363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner