Provider Demographics
NPI:1164682225
Name:MEYERS, JANICE R (ACNP-BC; ACHPN; RN)
Entity Type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:R
Last Name:MEYERS
Suffix:
Gender:F
Credentials:ACNP-BC; ACHPN; RN
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Other - First Name:
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Mailing Address - Street 1:680 N LAKE SHORE DR
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-4546
Mailing Address - Country:US
Mailing Address - Phone:312-926-6055
Mailing Address - Fax:312-695-7085
Practice Address - Street 1:675 N SAINT CLAIR ST
Practice Address - Street 2:SUITE 17-250
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-5975
Practice Address - Country:US
Practice Address - Phone:312-926-6055
Practice Address - Fax:312-695-7095
Is Sole Proprietor?:No
Enumeration Date:2008-06-12
Last Update Date:2017-09-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL209.013604363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care