Provider Demographics
NPI:1134621477
Name:HARVELL, JANINA (CRNP)
Entity type:Individual
Prefix:
First Name:JANINA
Middle Name:
Last Name:HARVELL
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2607 KEISER BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-3326
Mailing Address - Country:US
Mailing Address - Phone:610-743-3139
Mailing Address - Fax:610-743-9796
Practice Address - Street 1:2607 KEISER BLVD STE 100
Practice Address - Street 2:
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-3326
Practice Address - Country:US
Practice Address - Phone:610-743-3139
Practice Address - Fax:610-743-3143
Is Sole Proprietor?:No
Enumeration Date:2018-03-02
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP027947363LG0600X, 363LA2200X
AZ269990363LG0600X
CANP95008599363LG0600X, 363LP2300X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care