Janice Outlaw, LPM is a
Licensed Practical Nurse based in Greenwood, Mississippi. Janice Outlaw is licensed to practice in Mississippi (license number 220884) and her current practice location is
300 Star St, Greenwood, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(662) 392-4444.
NPI number for Janice Outlaw is 1205531324 and her current mailing address is 300 Star St, Greenwood, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205531324.
Provider's Profile
| Full Name | Janice Outlaw |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 300 Star St, Greenwood, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1205531324
- Provider Enumeration Date: 03/31/2023
- Last Update Date: 03/31/2023
Medical Identifiers
Medical identifiers for Janice Outlaw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205531324 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 220884 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Janice Outlaw is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Janice Outlaw, LPM
300 Star St,
Greenwood, MS 38930-7528
Ph: (662) 392-4444 | Janice Outlaw, LPM
300 Star St,
Greenwood, MS 38930-7528
Ph: (662) 392-4444 |
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