Fedullo, Janet I
Fedullo, Janet I is an individual health care provider with primary practice located at 1360 Upper Hembree Rd Ste 101 , Roswell GA 30076-1230. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Fedullo, Janet I can be contacted via phone (770) 817-1970.Contact Information
Primary practice address
1360 Upper Hembree Rd Ste 101
Roswell GA 30076-1230
Phone: (770) 817-1970
Fax: (770) 817-1980
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 12027 | Tennessee |
Profile Details
| NPI number | 1841243318 |
|---|---|
| LBN Legal business name | Fedullo, Janet I |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Nov 18th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841243318 | NPPES |
| Tennessee | Other | 621178892 | TAX ID |
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