Provider Demographics
NPI:1659857902
Name:JANNEY, CHRISTEN MARIE (NP-C)
Entity Type:Individual
Prefix:
First Name:CHRISTEN
Middle Name:MARIE
Last Name:JANNEY
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:CHRISTEN
Other - Middle Name:
Other - Last Name:IRBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 6210
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:NM
Mailing Address - Zip Code:87499-6210
Mailing Address - Country:US
Mailing Address - Phone:505-609-2258
Mailing Address - Fax:505-609-2259
Practice Address - Street 1:120 LLANO ST
Practice Address - Street 2:
Practice Address - City:AZTEC
Practice Address - State:NM
Practice Address - Zip Code:87410-2172
Practice Address - Country:US
Practice Address - Phone:505-334-3404
Practice Address - Fax:505-334-3486
Is Sole Proprietor?:No
Enumeration Date:2018-07-18
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0996435-NP363LF0000X
NM53277363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily