Provider Demographics
NPI:1598643520
Name:JOST, JANELLE SUZANNE (FNP-BC)
Entity type:Individual
Prefix:
First Name:JANELLE
Middle Name:SUZANNE
Last Name:JOST
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:JANELLE
Other - Middle Name:SUZANNE
Other - Last Name:WERTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:697 W TEFFT ST
Mailing Address - Street 2:
Mailing Address - City:NIPOMO
Mailing Address - State:CA
Mailing Address - Zip Code:93444-9190
Mailing Address - Country:US
Mailing Address - Phone:805-929-2272
Mailing Address - Fax:
Practice Address - Street 1:697 W TEFFT ST
Practice Address - Street 2:
Practice Address - City:NIPOMO
Practice Address - State:CA
Practice Address - Zip Code:93444-9190
Practice Address - Country:US
Practice Address - Phone:805-929-2272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-26
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95035913363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily