Provider Demographics
NPI:1710203641
Name:CHATMAN-JARRETT, JANICE (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:
Last Name:CHATMAN-JARRETT
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 GREENLEAF RD
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30013-2272
Mailing Address - Country:US
Mailing Address - Phone:770-728-9994
Mailing Address - Fax:
Practice Address - Street 1:315 GREENLEAF RD
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30013-2272
Practice Address - Country:US
Practice Address - Phone:770-728-9994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-16
Last Update Date:2010-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN194974163W00000X, 163WM0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn
No163W00000XNursing Service ProvidersRegistered Nurse