Individual
JANETTE WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
974 S ENOTA DR NE, GAINESVILLE, GA 30501-2429
(770) 536-7546
(678) 343-2006
Mailing address
974 S ENOTA DR NE, GAINESVILLE, GA 30501-2429
(770) 536-7546
(678) 343-2006
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN164556
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
621349764A
—
GA
Enumeration date
07/06/2006
Last updated
09/03/2015
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