Healthcare Provider Details

I. General information

NPI: 1427359843
Provider Name (Legal Business Name): JANINNE M ABEL NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2010
Last Update Date: 08/14/2023
Certification Date: 08/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6175 NEWTON DR NE
COVINGTON GA
30014-2690
US

IV. Provider business mailing address

1105 E KENNEDY BLVD
TAMPA FL
33602-3511
US

V. Phone/Fax

Practice location:
  • Phone: 678-342-6000
  • Fax:
Mailing address:
  • Phone: 813-307-8064
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN243427
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9194072
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberRN243427
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: