Healthcare Provider Details

I. General information

NPI: 1518831726
Provider Name (Legal Business Name): JANEY FLOYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2025
Last Update Date: 10/01/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7137 SE 5TH ST APT 302
DES MOINES IA
50315-6510
US

IV. Provider business mailing address

7137 SE 5TH ST APT 302
DES MOINES IA
50315-6510
US

V. Phone/Fax

Practice location:
  • Phone: 856-392-9725
  • Fax:
Mailing address:
  • Phone: 856-392-9725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: