Provider Demographics
NPI:1962919803
Name:GRIFFIN, JA'NAY MARIE (RN)
Entity type:Individual
Prefix:
First Name:JA'NAY
Middle Name:MARIE
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:JA'NAY
Other - Middle Name:MARIE
Other - Last Name:REED
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:8807 PROCTORS RUN DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23237-2774
Mailing Address - Country:US
Mailing Address - Phone:757-593-1416
Mailing Address - Fax:
Practice Address - Street 1:8807 PROCTORS RUN DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23237-2774
Practice Address - Country:US
Practice Address - Phone:757-593-1416
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-01
Last Update Date:2018-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001246509163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse