Individual
EMILIA GRACE JANNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
527 TANNER ST, CARROLLTON, GA 30117-3318
(770) 537-1234
(770) 537-1237
Mailing address
1470 COUNTY ROAD 473, NEWELL, AL 36280-4713
(404) 670-4944
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-196405
AL
363L00000X
Nurse Practitioner
Primary
RN250441
GA
363LF0000X
Family Nurse Practitioner
RN250441
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861915647
GROUP NPI
GA
Enumeration date
07/14/2022
Last updated
03/25/2025
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