| 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: | |