Provider Demographics
NPI:1588326292
Name:WEEKS-SMITH, JANELL MICHELLE (MSN,RN)
Entity type:Individual
Prefix:
First Name:JANELL
Middle Name:MICHELLE
Last Name:WEEKS-SMITH
Suffix:
Gender:F
Credentials:MSN,RN
Other - Prefix:
Other - First Name:JANELL
Other - Middle Name:MICHELLE
Other - Last Name:WEEKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2428 HOBART ST
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29579-6702
Mailing Address - Country:US
Mailing Address - Phone:864-356-5178
Mailing Address - Fax:
Practice Address - Street 1:2428 HOBART ST
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29579-6702
Practice Address - Country:US
Practice Address - Phone:864-356-5178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-10
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC89112163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse