Provider Demographics
NPI:1316957715
Name:HELM, JANSEN PRYOR (ACNP-BC)
Entity type:Individual
Prefix:MISS
First Name:JANSEN
Middle Name:PRYOR
Last Name:HELM
Suffix:
Gender:F
Credentials:ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:240 N HIGHLAND AVE
Mailing Address - Street 2:#3418
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30307
Mailing Address - Country:US
Mailing Address - Phone:480-332-0667
Mailing Address - Fax:404-574-5821
Practice Address - Street 1:240 N HIGHLAND AVE
Practice Address - Street 2:#3418
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30307
Practice Address - Country:US
Practice Address - Phone:480-332-0667
Practice Address - Fax:404-574-5821
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2012-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN138860363LA2100X
GARN142576363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
P28095Medicare UPIN
GA50BBFRNMedicare PIN
GAP28095Medicare UPIN