Provider Demographics
NPI:1760444780
Name:HELM, JANICE MARIA (PA)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:MARIA
Last Name:HELM
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:JANICE
Other - Middle Name:MARIA
Other - Last Name:STONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:PO BOX 7200
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-0200
Mailing Address - Country:US
Mailing Address - Phone:252-937-0200
Mailing Address - Fax:252-451-0056
Practice Address - Street 1:102 S EASTPOINTE AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:NC
Practice Address - Zip Code:27856-1849
Practice Address - Country:US
Practice Address - Phone:252-459-4012
Practice Address - Fax:252-937-3101
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC101799363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP00306929OtherRAILROAD MEDICARE
NCP00306929OtherRAILROAD MEDICARE
NC2745646AMedicare PIN