Provider Demographics
NPI:1851377485
Name:JARVIS, ERIN LYNN (MS, CGC)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:LYNN
Last Name:JARVIS
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:MS
Other - First Name:ERIN
Other - Middle Name:LYNN
Other - Last Name:JACOBS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CGC
Mailing Address - Street 1:337 NOBLEMAN WAY
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:GA
Mailing Address - Zip Code:30114-8270
Mailing Address - Country:US
Mailing Address - Phone:800-245-4363
Mailing Address - Fax:
Practice Address - Street 1:337 NOBLEMAN WAY
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:GA
Practice Address - Zip Code:30114-8270
Practice Address - Country:US
Practice Address - Phone:800-245-4363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS