Provider Demographics
NPI:1114531928
Name:JANES, EMILY (DNP, APRN)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:
Last Name:JANES
Suffix:
Gender:F
Credentials:DNP, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20189 SOUTHWOOD ESTS
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:MO
Mailing Address - Zip Code:63383-6963
Mailing Address - Country:US
Mailing Address - Phone:970-985-1909
Mailing Address - Fax:
Practice Address - Street 1:1701 S 12TH ST
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58504-6644
Practice Address - Country:US
Practice Address - Phone:701-751-0384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-31
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR40257363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics