Individual
MS. JANICE SUE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-5226
(404) 321-6111
(404) 728-5023
Mailing address
570 VILLA COURT, NORCROSS, GA 30093-4004
(770) 938-9303
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN071262
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN071262
APRN
GA
Enumeration date
07/10/2006
Last updated
07/08/2007
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