Provider Demographics
NPI:1235990946
Name:REICHLEY, JANELLE (APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:JANELLE
Middle Name:
Last Name:REICHLEY
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9757 STATE ROUTE 757 NW
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:OH
Mailing Address - Zip Code:43783-9718
Mailing Address - Country:US
Mailing Address - Phone:740-684-6408
Mailing Address - Fax:
Practice Address - Street 1:4279 N STATE ROUTE 376 NW
Practice Address - Street 2:
Practice Address - City:MCCONNELSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43756-9145
Practice Address - Country:US
Practice Address - Phone:740-651-5188
Practice Address - Fax:740-651-5258
Is Sole Proprietor?:No
Enumeration Date:2024-01-19
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0034757363LP2300X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care