Provider Demographics
NPI:1447054044
Name:IANNIELLO, HELEN JACQUELINE (RN)
Entity type:Individual
Prefix:MS
First Name:HELEN
Middle Name:JACQUELINE
Last Name:IANNIELLO
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GORDON
Mailing Address - State:NE
Mailing Address - Zip Code:69343-1501
Mailing Address - Country:US
Mailing Address - Phone:833-457-0971
Mailing Address - Fax:833-457-0972
Practice Address - Street 1:116 N MAIN ST
Practice Address - Street 2:
Practice Address - City:GORDON
Practice Address - State:NE
Practice Address - Zip Code:69343-1501
Practice Address - Country:US
Practice Address - Phone:833-457-0971
Practice Address - Fax:833-457-0972
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174H00000X
FLRN9364643163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No174H00000XOther Service ProvidersHealth Educator