Provider Demographics
NPI:1699230094
Name:GARNER, JHANE NICHOL
Entity Type:Individual
Prefix:
First Name:JHANE
Middle Name:NICHOL
Last Name:GARNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4758 ARTHUR DR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70127-3234
Mailing Address - Country:US
Mailing Address - Phone:504-247-4973
Mailing Address - Fax:
Practice Address - Street 1:4758 ARTHUR DR
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127-3234
Practice Address - Country:US
Practice Address - Phone:504-247-4973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-10
Last Update Date:2019-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program