Provider Demographics
NPI:1659823797
Name:LOUIS, JANELLE (ND, PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:JANELLE
Middle Name:
Last Name:LOUIS
Suffix:
Gender:F
Credentials:ND, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4539 N 22ND ST # 4828
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-4639
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4539 N 22ND ST # 4828
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-4639
Practice Address - Country:US
Practice Address - Phone:520-200-8993
Practice Address - Fax:480-210-0004
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-25
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN322974363LP0808X
VT099.0134086175F00000X
WAAP.70013349-NP363LP0808X
AZRNP325553363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No175F00000XOther Service ProvidersNaturopath