# JANICE IVIE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1184058737
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0807X | Child & Adolescent Psychiatric/Mental Health Registered Nurse | 493762 | CA | — |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | NPF95001148 | CA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 95001148 | CA | Yes |

## Other

- **Enumeration date:** 08/29/2013
- **Last updated:** 07/11/2024