Provider Demographics
NPI:1912234550
Name:LOMAX, JENEEN A (CNM)
Entity Type:Individual
Prefix:MS
First Name:JENEEN
Middle Name:A
Last Name:LOMAX
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
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Mailing Address - Street 1:1018 REGAL HILLS LN
Mailing Address - Street 2:
Mailing Address - City:MABLETON
Mailing Address - State:GA
Mailing Address - Zip Code:30126-7265
Mailing Address - Country:US
Mailing Address - Phone:312-451-7546
Mailing Address - Fax:470-250-2401
Practice Address - Street 1:825 BEECHER ST SW STE 115
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30310-2717
Practice Address - Country:US
Practice Address - Phone:404-480-3177
Practice Address - Fax:470-250-2401
Is Sole Proprietor?:No
Enumeration Date:2009-11-03
Last Update Date:2019-05-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GARN264372367A00000X
IL209007737367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife