Provider Demographics
NPI:1982388161
Name:HEATON, JANELLE (RN)
Entity Type:Individual
Prefix:
First Name:JANELLE
Middle Name:
Last Name:HEATON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5500 BRYSON DR STE 301
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-0922
Mailing Address - Country:US
Mailing Address - Phone:239-348-7337
Mailing Address - Fax:239-348-7391
Practice Address - Street 1:5500 BRYSON DR STE 301
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-0922
Practice Address - Country:US
Practice Address - Phone:239-348-7337
Practice Address - Fax:239-348-7391
Is Sole Proprietor?:No
Enumeration Date:2023-06-09
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9446234163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse