Janet Lenise McGruder, RN
Individual provider Active NPI Community Health Registered Nurse · College Park, GA
NPI 1003965716 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1003965716
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- RN127390 (GA)
- Practice address
- 1920 John E Wesley Ave
College Park, GA 30337 - Phone
- (404) 765-4155
- Fax
- (404) 765-4149
- NPI assigned
- Jan 10, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN127390 | GA | MD | Community Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | RN127390 | GA | Yes |
Addresses
Primary practice location
1920 John E Wesley Ave
College Park, GA 30337
Mailing address
99 Jesse Hill Jr Drive SE
Atlanta, GA 30303
Phone (404) 730-1217
Other names
- Miss Janet Lenise Pope Campbell
Other providers in College Park, GA
- Maxim Healthcare Services, Inc.
- Kayla D McCray
- Darlene McCullough
- Andre McDaniel
- Leah J. McFerren
- Linda McKinnon
- Jocelyn McLean
- Means Consulting Services
- Jarvaris Merritt
- Zykeria Tamar Merritt
All providers in College Park, GA · Community Health Registered Nurse in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.