Individual
JANUARY MICHELLE FLOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
832 E SHOTWELL ST, BAINBRIDGE, GA 39819-4146
(229) 205-2954
Mailing address
832 E SHOTWELL ST, BAINBRIDGE, GA 39819-4146
(229) 231-6146
(229) 207-4127
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN166717
GA
364S00000X
Clinical Nurse Specialist
RN166717
GA
Other
Enumeration date
08/05/2024
Last updated
10/10/2025
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