Provider Demographics
NPI:1245640945
Name:HAMILTON, JANETTE ANN (MS)
Entity type:Individual
Prefix:MRS
First Name:JANETTE
Middle Name:ANN
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8202 POST LAND CT
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23832-7737
Mailing Address - Country:US
Mailing Address - Phone:314-853-8015
Mailing Address - Fax:
Practice Address - Street 1:8202 POST LAND CT
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23832-7737
Practice Address - Country:US
Practice Address - Phone:314-853-8015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-02
Last Update Date:2014-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program