Provider Demographics
NPI:1912661877
Name:ENGLISH, JANELLE (CNA)
Entity type:Individual
Prefix:
First Name:JANELLE
Middle Name:
Last Name:ENGLISH
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6262 VILLAGE TRCE
Mailing Address - Street 2:
Mailing Address - City:REX
Mailing Address - State:GA
Mailing Address - Zip Code:30273-5037
Mailing Address - Country:US
Mailing Address - Phone:757-955-9619
Mailing Address - Fax:
Practice Address - Street 1:6262 VILLAGE TRCE
Practice Address - Street 2:
Practice Address - City:REX
Practice Address - State:GA
Practice Address - Zip Code:30273-5037
Practice Address - Country:US
Practice Address - Phone:757-955-9619
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-27
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA14193482376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide