Provider Demographics
NPI:1366151458
Name:HUTCHINGS, JANELLE (NP)
Entity type:Individual
Prefix:
First Name:JANELLE
Middle Name:
Last Name:HUTCHINGS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2885 W 15TH ST APT 3K
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-2853
Mailing Address - Country:US
Mailing Address - Phone:347-451-0801
Mailing Address - Fax:
Practice Address - Street 1:79 ALEXANDER AVE STE 32A
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10454-4475
Practice Address - Country:US
Practice Address - Phone:929-376-7525
Practice Address - Fax:646-786-3903
Is Sole Proprietor?:No
Enumeration Date:2022-11-17
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF404489363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health