Park, Janell Kay
Park, Janell Kay is an individual health care provider with primary practice located at 1523 Lafayette Park Dr Unit 6 , Bloomington IL 61701-6800. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Park, Janell Kay can be contacted via phone (309) 454-1400.Contact Information
Primary practice address
1523 Lafayette Park Dr Unit 6
Bloomington IL 61701-6800
Phone: (309) 454-1400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 277001338 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 277001338 | Illinois |
Profile Details
| NPI number | 1265883490 |
|---|---|
| LBN Legal business name | Park, Janell Kay |
| Credentials | APRN, FNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2016 |
| Last updated | Jul 24th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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