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General NPI Number Information
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NPI Number | 1659823797
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Entity Type | Individual
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Provider Name | JANELLE LOUIS ND, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/25/2016
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 4539 N 22ND ST # 4828
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City | PHOENIX
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State | AZ
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Zip | 85016-4639
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Country | US
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Telephone | 520-200-8993
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Fax | 480-210-0004
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Provider Business Mailing Address
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Address Line | 4539 N 22ND ST # 4828
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City | PHOENIX
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State | AZ
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Zip | 85016-4639
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN322974
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 099.0134086
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License Number State | VT
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP.70013349-NP
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RNP325553
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License Number State | AZ
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