Provider Demographics
NPI:1306488978
Name:DOYLE, JANA SUZANNE (AGPCNP-BC)
Entity type:Individual
Prefix:
First Name:JANA
Middle Name:SUZANNE
Last Name:DOYLE
Suffix:
Gender:F
Credentials:AGPCNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:427 MAIN ST STE 210
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47901-1941
Mailing Address - Country:US
Mailing Address - Phone:765-413-2831
Mailing Address - Fax:
Practice Address - Street 1:427 MAIN ST STE 210
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47901-1941
Practice Address - Country:US
Practice Address - Phone:765-413-2831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-15
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28220230A163WM0705X
IN71010367A363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical