Provider Demographics
NPI:1548057581
Name:NGHIEM, JANICE GIA-BOI (FNP)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:GIA-BOI
Last Name:NGHIEM
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2177 KILDARE WAY NW
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30152-5842
Mailing Address - Country:US
Mailing Address - Phone:404-893-9828
Mailing Address - Fax:
Practice Address - Street 1:2177 KILDARE WAY NW
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30152-5842
Practice Address - Country:US
Practice Address - Phone:404-893-9828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN287553363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily