Provider Demographics
NPI:1134392384
Name:STUDSTILL, JANICE FAYE (RN)
Entity type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:FAYE
Last Name:STUDSTILL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3811 OLD US HIGHWAY 41 N
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31602-6807
Mailing Address - Country:US
Mailing Address - Phone:229-333-0277
Mailing Address - Fax:229-241-1608
Practice Address - Street 1:3811 OLD US HIGHWAY 41 N
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31602-6807
Practice Address - Country:US
Practice Address - Phone:229-333-0277
Practice Address - Fax:229-241-1608
Is Sole Proprietor?:No
Enumeration Date:2008-04-09
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN138331163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse