Provider Demographics
NPI:1932117009
Name:GORNEY-JANKOWSKI, DEBRA KAY (MSN, RNCS)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:KAY
Last Name:GORNEY-JANKOWSKI
Suffix:
Gender:F
Credentials:MSN, RNCS
Other - Prefix:MS
Other - First Name:DEBRA
Other - Middle Name:KAY
Other - Last Name:GORNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, RN, CS
Mailing Address - Street 1:441 S LIVERNOIS RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-2584
Mailing Address - Country:US
Mailing Address - Phone:248-608-8800
Mailing Address - Fax:248-608-2490
Practice Address - Street 1:441 S LIVERNOIS RD
Practice Address - Street 2:SUITE 205
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-2584
Practice Address - Country:US
Practice Address - Phone:248-608-8800
Practice Address - Fax:248-608-2490
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704115087364SP0807X, 364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0807XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Child & Adolescent
No364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult