Provider Demographics
NPI:1851394316
Name:COX, JANIS K (CNM,MSN)
Entity Type:Individual
Prefix:MRS
First Name:JANIS
Middle Name:K
Last Name:COX
Suffix:
Gender:F
Credentials:CNM,MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546-6332
Mailing Address - Country:US
Mailing Address - Phone:910-353-2115
Mailing Address - Fax:910-355-2422
Practice Address - Street 1:250 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-6332
Practice Address - Country:US
Practice Address - Phone:910-353-2115
Practice Address - Fax:910-355-2422
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC CNM # 120367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7002048Medicaid
NCQ36997AMedicare PIN