Doctor Name: | MRS. JEANETTE SUSAN PIRKLE |
NPI Number: | 1033459482 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN, NP-C |
License Number: | RN160182 NP |
Business Practice Address: | 865 Austin Dr Demorest, GA - 305354513 |
Business Phone Number: | 7069490194 |
Business Fax Number: | 7067548822 |
Mailing Address: | Po Box 308, DEMOREST |
State: | GA |
Postal Code: | 305350308 |
Phone Number: | 7709490194 |
Fax Number: | 7067548822 |
NPI Enumeration Date: | 02/21/2013 |
NPI Last Update Date: | 02/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN160182 NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |