Healthcare Provider Details

I. General information

NPI: 1013024827
Provider Name (Legal Business Name): JANET LEA GILBREATH DNP, FNP, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HANNAH DYER DNP, PMHNP

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2360 W FOXGLOVE DR
NAMPA ID
83686-4955
US

IV. Provider business mailing address

2360 W FOXGLOVE DR
NAMPA ID
83686-4955
US

V. Phone/Fax

Practice location:
  • Phone: 630-854-4115
  • Fax: 208-288-4279
Mailing address:
  • Phone: 630-854-4115
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209004763
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number63128
License Number StateID
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number63128
License Number StateID
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number103024827
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: