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JANICE E. SHIVER NP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1578712121

Individual Registrant:
 JANICE E. SHIVER NP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
159 W. RAILROAD STREET  PEMBROKE, GA 31321-0190 US
Tel: 912-653-2897  Fax: 912-653-4299

Contact information for business:
602 E 72ND STREET  SAVANNAH, GA 31405-4913 US
Tel: 912-819-7878  Fax: 912-819-7850

Registration Information:
NPI: 1578712121
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
GARN089259

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
GA LICENSERN089259GA01




HEALTH CARE JOBS GA - Page 1



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