Provider Demographics
NPI:1619330701
Name:JANI, DRASHTI (NP)
Entity Type:Individual
Prefix:
First Name:DRASHTI
Middle Name:
Last Name:JANI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6911 SHANNON WILLOW RD STE 500
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-1351
Mailing Address - Country:US
Mailing Address - Phone:704-800-7414
Mailing Address - Fax:704-817-3390
Practice Address - Street 1:6911 SHANNON WILLOW RD STE 500
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-1351
Practice Address - Country:US
Practice Address - Phone:704-800-7414
Practice Address - Fax:704-817-3390
Is Sole Proprietor?:No
Enumeration Date:2016-04-05
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC290703163W00000X
NC5009102363L00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse