Individual
PATRICIA GAIL CHILDS JANASKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
98 E MORRIS ST, SAMSON, AL 36477-1229
(334) 898-2728
(334) 898-2774
Mailing address
98 E MORRIS ST, SAMSON, AL 36477-1229
(334) 898-2728
(334) 898-2774
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-026932
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051555531
—
AL
01
—
51527297
BLUE CROSS
AL
Enumeration date
08/19/2006
Last updated
07/08/2007
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