Individual
JANICE E. SHIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
159 W. RAILROAD STREET, PEMBROKE, GA 31321-0190
(912) 653-2897
(912) 653-4299
Mailing address
602 E 72ND STREET, SAVANNAH, GA 31405-4913
(912) 819-7878
(912) 819-7850
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN089259
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN089259
GA LICENSE
GA
Enumeration date
09/18/2008
Last updated
09/18/2008
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