Provider Demographics
NPI:1144085721
Name:PLOWDEN, JANIYA SIMONE
Entity type:Individual
Prefix:
First Name:JANIYA
Middle Name:SIMONE
Last Name:PLOWDEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:623 EVERGREENE RD
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-5808
Mailing Address - Country:US
Mailing Address - Phone:843-687-7389
Mailing Address - Fax:
Practice Address - Street 1:623 EVERGREENE RD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-5808
Practice Address - Country:US
Practice Address - Phone:843-687-7389
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-14
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant