Provider Demographics
NPI:1407467848
Name:IRELAND, JANENE BOYETTE (CRNP FNP-BC)
Entity Type:Individual
Prefix:
First Name:JANENE
Middle Name:BOYETTE
Last Name:IRELAND
Suffix:
Gender:F
Credentials:CRNP FNP-BC
Other - Prefix:
Other - First Name:JANENE
Other - Middle Name:BOYETTE
Other - Last Name:D'ADDIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-851-7050
Mailing Address - Fax:717-632-7478
Practice Address - Street 1:100 FREDERICK ST STE 101
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-3518
Practice Address - Country:US
Practice Address - Phone:717-851-7050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-10
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP022197363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily