Healthcare Provider Details

I. General information

NPI: 1912433061
Provider Name (Legal Business Name): JANELLE M HEISER MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2017
Last Update Date: 01/05/2023
Certification Date: 01/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AKRON CHILDRENS HOSPITAL SCHOOL HEALTH 214 W. BOWERY ST
AKRON OH
44308
US

IV. Provider business mailing address

4928 ARMANDALE AVE N.W.
CANTON OH
44718
US

V. Phone/Fax

Practice location:
  • Phone: 330-543-1000
  • Fax:
Mailing address:
  • Phone: 330-327-4764
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.0032812
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0032812
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN290288
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: