Provider Demographics
NPI:1639775067
Name:PEREZ, JANET E (RN)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:E
Last Name:PEREZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 JONES LANDING CT
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809-8039
Mailing Address - Country:US
Mailing Address - Phone:706-993-3251
Mailing Address - Fax:706-607-4013
Practice Address - Street 1:601 JONES LANDING CT
Practice Address - Street 2:
Practice Address - City:EVANS
Practice Address - State:GA
Practice Address - Zip Code:30809-8039
Practice Address - Country:US
Practice Address - Phone:706-993-3251
Practice Address - Fax:706-607-4013
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-10
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN224775163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health