MEDICARE: STHELLE JANVIER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	351759-01	NY

General Provider Information

NPI Number	:	1215720172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STHELLE JANVIER

Provider Business Mailing Address
First Line	:	20419 JAMAICA AVE FL 1
Second Line	:
City	:	HOLLIS
State	:	NY
Zip	:	11423-3037
Country	:	US
Telephone Number	:	347-942-6342
Fax Number	:

Provider Business Practice Location Address
First Line	:	20419 JAMAICA AVE FL 1
Second Line	:
City	:	HOLLIS
State	:	NY
Zip	:	11423-3037
Country	:	US
Telephone Number	:	347-942-6342
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2025
Last Update Date	:	05/23/2025

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Directions to “ STHELLE JANVIER ” Practice Location

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