Provider Demographics
NPI:1851313365
Name:FLOYD, JANET ANN (CNM)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:ANN
Last Name:FLOYD
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 601067
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-1067
Mailing Address - Country:US
Mailing Address - Phone:704-512-3860
Mailing Address - Fax:704-583-2212
Practice Address - Street 1:13640 STEELECROFT PKWY
Practice Address - Street 2:SUITE 240
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28278-7565
Practice Address - Country:US
Practice Address - Phone:704-512-3860
Practice Address - Fax:704-583-2212
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2013-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC379367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7002103Medicaid
NC208628OtherREGISTERED NURSE LICENSE
NC379OtherCERTIFIED NURSE-MIDWIFE
SCMW0182Medicaid
SCNP1407Medicaid
NC2593033Medicare PIN
SCMW0182Medicaid