Individual
JANINE PAULETTE STITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
4320 DIPLOMACY DR, SUITE #1500, ANCHORAGE, AK 99508-5925
(907) 729-8607
Mailing address
645 N. JESSICA BROOKE CIRCLE, SUITE F, WASILLA, AK 99654-5904
(907) 376-9919
(907) 376-9911
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1124
AK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
688757
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102236
—
AK
01
—
12743679
CAQH PROVIDER ID
—
05
—
NPO154
—
AK
Enumeration date
05/05/2009
Last updated
03/07/2023
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