Provider Demographics
NPI:1487094876
Name:PIPPINS, JANET LYNEESE
Entity type:Individual
Prefix:MS
First Name:JANET
Middle Name:LYNEESE
Last Name:PIPPINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 BRASCH PARK DR
Mailing Address - Street 2:
Mailing Address - City:GRANTVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30220-2139
Mailing Address - Country:US
Mailing Address - Phone:404-357-2329
Mailing Address - Fax:
Practice Address - Street 1:108 BRASCH PARK DR
Practice Address - Street 2:
Practice Address - City:GRANTVILLE
Practice Address - State:GA
Practice Address - Zip Code:30220-2139
Practice Address - Country:US
Practice Address - Phone:404-357-2329
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-28
Last Update Date:2013-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA20130075372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion