Provider Demographics
NPI:1598911901
Name:JOINER, JANICE DORSEY (CNM MSN)
Entity Type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:DORSEY
Last Name:JOINER
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Gender:F
Credentials:CNM MSN
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Mailing Address - Street 1:1279 HIGHWAY 54 WEST
Mailing Address - Street 2:SUITE 220
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-4552
Mailing Address - Country:US
Mailing Address - Phone:770-991-2200
Mailing Address - Fax:770-991-1341
Practice Address - Street 1:1279 HIGHWAY 54 WEST
Practice Address - Street 2:SUITE 220
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-4552
Practice Address - Country:US
Practice Address - Phone:770-991-2200
Practice Address - Fax:770-991-1341
Is Sole Proprietor?:No
Enumeration Date:2008-08-18
Last Update Date:2013-03-28
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Provider Licenses
StateLicense IDTaxonomies
GARN084667363L00000X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003106719AMedicaid