Provider Demographics
NPI:1851317507
Name:GAINOK, JANA NICOLE (DNP, FNP-C, PMHNP-BC)
Entity Type:Individual
Prefix:DR
First Name:JANA
Middle Name:NICOLE
Last Name:GAINOK
Suffix:
Gender:F
Credentials:DNP, FNP-C, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2860 S CIRCLE DR STE 230
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-4133
Mailing Address - Country:US
Mailing Address - Phone:719-464-6752
Mailing Address - Fax:719-434-9925
Practice Address - Street 1:2860 S CIRCLE DR STE 230
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-4133
Practice Address - Country:US
Practice Address - Phone:719-464-6752
Practice Address - Fax:719-434-9925
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP128201363LF0000X
CA513394363LF0000X
COAPN.0996465-NP363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health