Provider Demographics
NPI:1477375996
Name:JAMES, JANET RITA
Entity type:Individual
Prefix:MISS
First Name:JANET
Middle Name:RITA
Last Name:JAMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:RITA
Other - Last Name:JAMES- KASINATHAN, AUGUSTINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4108 LAKEFIELD PL
Mailing Address - Street 2:
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30097-2396
Mailing Address - Country:US
Mailing Address - Phone:678-882-8832
Mailing Address - Fax:
Practice Address - Street 1:4108 LAKEFIELD PL
Practice Address - Street 2:
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30097-2396
Practice Address - Country:US
Practice Address - Phone:678-310-4660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAL-315624163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant