1932117009 NPI number — MRS. DEBRA KAY GORNEY-JANKOWSKI MSN, RNCS

Table of content: MRS. DEBRA KAY GORNEY-JANKOWSKI MSN, RNCS (NPI 1932117009)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932117009 NPI number — MRS. DEBRA KAY GORNEY-JANKOWSKI MSN, RNCS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GORNEY-JANKOWSKI
Provider First Name:
DEBRA
Provider Middle Name:
KAY
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MSN, RNCS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GORNEY
Provider Other First Name:
DEBRA
Provider Other Middle Name:
KAY
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MSN, RN, CS
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1932117009
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/15/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
441 S LIVERNOIS RD
Provider Second Line Business Mailing Address:
SUITE 205
Provider Business Mailing Address City Name:
ROCHESTER HILLS
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48307-2584
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
248-608-8800
Provider Business Mailing Address Fax Number:
248-608-2490

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
441 S LIVERNOIS RD
Provider Second Line Business Practice Location Address:
SUITE 205
Provider Business Practice Location Address City Name:
ROCHESTER HILLS
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48307-2584
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-608-8800
Provider Business Practice Location Address Fax Number:
248-608-2490
Provider Enumeration Date:
08/04/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 364SP0807X , with the licence number:  4704115087 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 364SP0809X , with the licence number: 4704115087 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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