Provider Demographics
NPI:1831639194
Name:JANUS, CARRIE ELIZABETH (PMHNP)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:ELIZABETH
Last Name:JANUS
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:CARRIE
Other - Middle Name:ELIZABETH
Other - Last Name:STEELMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1600 W WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62650-1136
Mailing Address - Country:US
Mailing Address - Phone:217-245-7275
Mailing Address - Fax:217-245-7427
Practice Address - Street 1:1600 W WALNUT ST
Practice Address - Street 2:THE CENTER FOR PSYCHIATRIC HEALTH
Practice Address - City:JACKSONVILLE
Practice Address - State:IL
Practice Address - Zip Code:62650-1136
Practice Address - Country:US
Practice Address - Phone:217-245-7275
Practice Address - Fax:217-245-7427
Is Sole Proprietor?:No
Enumeration Date:2017-03-06
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209-015706363LP0808X
IL209015706363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health