Provider Demographics
NPI:1114166121
Name:BROWN, JANELLE A (ACNP-BC)
Entity type:Individual
Prefix:
First Name:JANELLE
Middle Name:A
Last Name:BROWN
Suffix:
Gender:F
Credentials:ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:945 CLIFFSIDE DR
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-2916
Mailing Address - Country:US
Mailing Address - Phone:740-255-0810
Mailing Address - Fax:
Practice Address - Street 1:945 CLIFFSIDE DR
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-2916
Practice Address - Country:US
Practice Address - Phone:740-255-0810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-13
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3747P1801X
OHRN-284114363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant