Healthcare Provider Details

I. General information

NPI: 1437563558
Provider Name (Legal Business Name): JANEL NUZUM PMHNP-BC, MSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2014
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 COLLEGE PKWY
PARKERSBURG WV
26104-7615
US

IV. Provider business mailing address

225 COLLEGE PKWY
PARKERSBURG WV
26104-7615
US

V. Phone/Fax

Practice location:
  • Phone: 304-485-3345
  • Fax: 304-485-3345
Mailing address:
  • Phone: 304-485-3345
  • Fax: 304-485-3345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number74931
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberCOA 16031 - NP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: