MEDICARE: JANELLE M HENNARD NP

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	363LF0000X	Family Nurse Practitioner	341948	NY

General Provider Information

NPI Number	:	1265767453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANELLE M HENNARD NP

Provider Business Mailing Address
First Line	:	777 CANAL VIEW BLVD STE 400
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14623-2823
Country	:	US
Telephone Number	:	585-244-3430
Fax Number	:

Provider Business Practice Location Address
First Line	:	777 CANAL VIEW BLVD STE 400
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14623-2823
Country	:	US
Telephone Number	:	585-244-3430
Fax Number	:

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

Provider Enumeration Date	:	10/06/2009
Last Update Date	:	03/24/2026

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