MEDICARE: MS. JANELLE SHEREE FLAGG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1699285999
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JANELLE SHEREE FLAGG

Provider Business Mailing Address
First Line	:	3676 GOLD CREEK LN
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95827-3759
Country	:	US
Telephone Number	:	916-821-6977
Fax Number	:

Provider Business Practice Location Address
First Line	:	3676 GOLD CREEK LN
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95827-3759
Country	:	US
Telephone Number	:	916-821-6977
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2017
Last Update Date	:	03/17/2018

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