Provider Demographics
NPI:1144537630
Name:JANNEY, MAGENIA ANN (FNP-C)
Entity type:Individual
Prefix:
First Name:MAGENIA
Middle Name:ANN
Last Name:JANNEY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:MAGENIA
Other - Middle Name:ANN
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:1245 ORANGE AVE
Mailing Address - Street 2:STE 120
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-4954
Mailing Address - Country:US
Mailing Address - Phone:334-745-2333
Mailing Address - Fax:
Practice Address - Street 1:7351 OLD MOON RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31909-7291
Practice Address - Country:US
Practice Address - Phone:706-653-7000
Practice Address - Fax:706-653-7800
Is Sole Proprietor?:No
Enumeration Date:2010-09-07
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN078803NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily