Healthcare Provider Details

I. General information

NPI: 1932117009
Provider Name (Legal Business Name): DEBRA KAY GORNEY-JANKOWSKI MSN, RNCS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEBRA KAY GORNEY MSN, RN, CS

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 02/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

441 S LIVERNOIS RD SUITE 205
ROCHESTER HILLS MI
48307-2584
US

IV. Provider business mailing address

441 S LIVERNOIS RD SUITE 205
ROCHESTER HILLS MI
48307-2584
US

V. Phone/Fax

Practice location:
  • Phone: 248-608-8800
  • Fax: 248-608-2490
Mailing address:
  • Phone: 248-608-8800
  • Fax: 248-608-2490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
License Number4704115087
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number4704115087
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: