Provider Demographics
NPI:1023657376
Name:WARFIELD, JANERRICA JANAY (BS)
Entity type:Individual
Prefix:MISS
First Name:JANERRICA
Middle Name:JANAY
Last Name:WARFIELD
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:290 LAWRENCE AVE
Mailing Address - Street 2:
Mailing Address - City:MANY
Mailing Address - State:LA
Mailing Address - Zip Code:71449-3628
Mailing Address - Country:US
Mailing Address - Phone:318-663-2692
Mailing Address - Fax:
Practice Address - Street 1:290 LAWRENCE AVE
Practice Address - Street 2:
Practice Address - City:MANY
Practice Address - State:LA
Practice Address - Zip Code:71449-3628
Practice Address - Country:US
Practice Address - Phone:318-663-2692
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-04
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty