Provider Demographics
NPI:1558658823
Name:LOWMAN, JANICE ELAINE (PNP)
Entity type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:ELAINE
Last Name:LOWMAN
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3651 DAWSON FOREST RD E
Mailing Address - Street 2:
Mailing Address - City:DAWSONVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30534-0404
Mailing Address - Country:US
Mailing Address - Phone:706-216-7337
Mailing Address - Fax:
Practice Address - Street 1:3651 DAWSON FOREST RD E
Practice Address - Street 2:
Practice Address - City:DAWSONVILLE
Practice Address - State:GA
Practice Address - Zip Code:30534-0404
Practice Address - Country:US
Practice Address - Phone:706-216-7337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-06
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN176229363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1144299918Medicaid