MISS JANELLE MARIE STANK


Address: 228 Shawnee Rd, Ardmore, PA 19003-1725
Phone: 6106426243

MISS JANELLE MARIE STANK (NPI# 1891986071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891986071
Entity Type Individual
Full Name MISS JANELLE MARIE STANK
Credential CRNP
Practice Address 228 Shawnee Rd
Ardmore
PA 19003-1725
Mailing Address 6655 Mccallum St
#12 East
Philadelphia
PA 19119-3154
Practice Telephone 6106426243
Mailing Telephone 2158433550
Enumeration Date 2007-08-05
Last Update Date 2007-11-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
SP009384 PA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA CRNP SP009384 01

Office Location

Street Address 228 SHAWNEE RD
City ARDMORE
State PA
Zip Code 19003-1725

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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City ARDMORE
Zip Code 19003

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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