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NPI Code Detail

MEDICARE: MRS. JANET LEE NEAL APRN

MEDICARE: MRS. JANET LEE NEAL APRN
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN.CNP.025836OH

General Provider Information

NPI Number : 1619510989
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JANET LEE NEAL APRN
Provider Business Mailing Address
First Line : 9049 SPRINGBORO PIKE
Second Line :
City : MIAMISBURG
State : OH
Zip : 45342-4926
Country : US
Telephone Number : 937-759-0545
Fax Number : 937-759-0549
Provider Business Practice Location Address
First Line : 9049 SPRINGBORO PIKE
Second Line :
City : MIAMISBURG
State : OH
Zip : 45342-4926
Country : US
Telephone Number : 937-759-0545
Fax Number : 937-759-0549
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2019
Last Update Date : 02/19/2025

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