Provider Demographics
NPI:1760028963
Name:LENNON, JANET (FNP)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:LENNON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:
Other - Last Name:LEGGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:148 MILL HOUSE DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN UNIVERSITY
Mailing Address - State:PA
Mailing Address - Zip Code:19352-1331
Mailing Address - Country:US
Mailing Address - Phone:610-441-9154
Mailing Address - Fax:
Practice Address - Street 1:148 MILL HOUSE DR
Practice Address - Street 2:
Practice Address - City:LINCOLN UNIVERSITY
Practice Address - State:PA
Practice Address - Zip Code:19352-1331
Practice Address - Country:US
Practice Address - Phone:610-441-9154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-22
Last Update Date:2019-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP021062363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily