Provider Demographics
NPI:1215415880
Name:AGNEW, JANELLE (APRN, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:JANELLE
Middle Name:
Last Name:AGNEW
Suffix:
Gender:F
Credentials:APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 N. BROAD STREET
Mailing Address - Street 2:SUITE 5 #3577
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:300 DELAWARE AVE STE 1205
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801-1670
Practice Address - Country:US
Practice Address - Phone:617-379-0496
Practice Address - Fax:617-864-0614
Is Sole Proprietor?:No
Enumeration Date:2018-08-05
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID66255363LP0808X
MDAC002405363LP0808X
PASP023449363LP0808X
DEL8-0000162363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health