Provider Demographics
NPI:1427407014
Name:WELCH-OLIVER, JANELLE CAROLYN (FNP-BC, NP-C, PMHNP)
Entity Type:Individual
Prefix:MRS
First Name:JANELLE
Middle Name:CAROLYN
Last Name:WELCH-OLIVER
Suffix:
Gender:F
Credentials:FNP-BC, NP-C, PMHNP
Other - Prefix:MRS
Other - First Name:JANELLE
Other - Middle Name:
Other - Last Name:WELCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 750182
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89136-0182
Mailing Address - Country:US
Mailing Address - Phone:702-561-7564
Mailing Address - Fax:
Practice Address - Street 1:6628 SKY POINTE DR STE 103
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89131-4071
Practice Address - Country:US
Practice Address - Phone:702-550-9199
Practice Address - Fax:702-935-8946
Is Sole Proprietor?:No
Enumeration Date:2016-06-06
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN002227363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV50696Medicare PIN