Individual
JANAE MIKEL O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 COMMUNITY DR STE 205, TOBYHANNA, PA 18466-8987
(570) 476-2700
(570) 895-4332
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(484) 844-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN712050
PA
363L00000X
Nurse Practitioner
SP029308
PA
363LF0000X
Family Nurse Practitioner
Primary
SP029308
PA
Other
Enumeration date
11/20/2023
Last updated
11/05/2024
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