Provider Demographics
NPI:1285903112
Name:GRIER, JANA DAVIS (CFNP)
Entity type:Individual
Prefix:MRS
First Name:JANA
Middle Name:DAVIS
Last Name:GRIER
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22266 HIGHWAY 25
Mailing Address - Street 2:
Mailing Address - City:COLUMBIANA
Mailing Address - State:AL
Mailing Address - Zip Code:35051-8618
Mailing Address - Country:US
Mailing Address - Phone:205-669-3138
Mailing Address - Fax:205-669-8718
Practice Address - Street 1:22266 HIGHWAY 25
Practice Address - Street 2:
Practice Address - City:COLUMBIANA
Practice Address - State:AL
Practice Address - Zip Code:35051-8618
Practice Address - Country:US
Practice Address - Phone:205-669-3138
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-21
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC17691363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCNP1962Medicaid
SCQ386819223Medicare PIN