Healthcare Provider Details

I. General information

NPI: 1366151458
Provider Name (Legal Business Name): JANELLE HUTCHINGS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2022
Last Update Date: 11/17/2022
Certification Date: 11/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

79 ALEXANDER AVE STE 32A
BRONX NY
10454-4475
US

IV. Provider business mailing address

2885 W 15TH ST APT 3K
BROOKLYN NY
11224-2853
US

V. Phone/Fax

Practice location:
  • Phone: 929-376-7525
  • Fax: 646-786-3903
Mailing address:
  • Phone: 347-451-0801
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberF404489
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: