Janice Demille
Individual provider Active NPI Athletic Trainer · Nebo, NC
NPI 1194368399 · NPPES record last updated Oct 21, 2019
Key facts
- NPI
- 1194368399
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 432 John Swafford Rd
Nebo, NC 28761-6732 - Phone
- (207) 232-7963
- NPI assigned
- Oct 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
432 John Swafford Rd
Nebo, NC 28761-6732
Mailing address
432 John Swafford Rd
Nebo, NC 28761-6732
Phone (207) 232-7963
Other providers in Nebo, NC
- Danica Margaret Ciaramita
- Kendra Condrey
- Donald Austin Cope
- Sandra Patton Davis
- Deer Park Health and Rehabilitation SNF LLC
- Ashley Camille Dinney
- Duckworth Acquisitions LLC
- Duckworth Acquisitions LLC
- Eugene Edwards
- Robert Bruce Edwards
All providers in Nebo, NC · Athletic Trainer in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2019. 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.