Provider Demographics
NPI:1689771339
Name:COLEMAN, JANET ANN (RN)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:ANN
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:JANET
Other - Middle Name:LEWIS
Other - Last Name:COLEMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:249 BILLINGSLEY RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-1003
Mailing Address - Country:US
Mailing Address - Phone:704-336-5386
Mailing Address - Fax:704-331-0859
Practice Address - Street 1:249 BILLINGSLEY RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-1003
Practice Address - Country:US
Practice Address - Phone:704-336-5386
Practice Address - Fax:704-331-0859
Is Sole Proprietor?:No
Enumeration Date:2006-09-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC073934163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC01180OtherHEALTH DEPARTMENT