Provider Demographics
NPI:1245354422
Name:JANET C POWELL, WHNP
Entity type:Organization
Organization Name:JANET C POWELL, WHNP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTICIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:C
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:WHNP
Authorized Official - Phone:803-648-0874
Mailing Address - Street 1:PO BOX 3800
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29802-3800
Mailing Address - Country:US
Mailing Address - Phone:803-648-0874
Mailing Address - Fax:803-648-5665
Practice Address - Street 1:209 ABBEVILLE AVE NW
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29801-3923
Practice Address - Country:US
Practice Address - Phone:803-648-0874
Practice Address - Fax:803-648-5665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCWH 693363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCNP0530Medicaid