Healthcare Provider Details

I. General information

NPI: 1699241042
Provider Name (Legal Business Name): JANET D POUNCY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2018
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5422 STATE HIGHWAY 94
RAMER AL
36069-5008
US

IV. Provider business mailing address

6316 SAND CUT RD
GEORGIANA AL
36033-6608
US

V. Phone/Fax

Practice location:
  • Phone: 334-562-3229
  • Fax: 334-420-0160
Mailing address:
  • Phone: 334-546-7332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-046980
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: