Most Relevant Information
Provider Data
| NPI Number: | 1003540147 |
| Provider Name: | EMILIA GRACE JANNEY NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | RN250441 |
Most Important Dates
| Enumeration Date: | 07/14/2022 |
| Last Updated: | 07/14/2022 |
Provider Practice Location
527 TANNER ST
CARROLLTON
GA
301173318
Practice Location Phone/Fax
| Phone: | 7705371234 |
| Fax: | 7705371237 |
Provider Mailing Location
1470 COUNTY ROAD 473
NEWELL
AL
362804713
Provider Mailing Phone/Fax
| Phone: | 4046704944 |
| Fax: |