| Janel L Clark, FNP | |
|
2166 Madison Ave, Granite City, IL 62040-4700 | |
| (618) 452-4969 | |
| (618) 451-7115 |
| Full Name | Janel L Clark |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 2166 Madison Ave, Granite City, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578951752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2014043297 (Missouri) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209015955 (Illinois) | Primary |
| Entity Name | Southern Illinois Healthcare Foundation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609813500 PECOS PAC ID: 1456256874 Enrollment ID: O20031126000641 |
| Mailing Address | Practice Location Address |
|---|---|
| Janel L Clark, FNP 2166 Madison Ave, Granite City, IL 62040-4700 Ph: (618) 452-4969 | Janel L Clark, FNP 2166 Madison Ave, Granite City, IL 62040-4700 Ph: (618) 452-4969 |
Kierstin Hancock, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 54 Northgate Industrial Dr, Granite City, IL 62040 Phone: 618-877-4420 | |
Stephanie King, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3732 Nameoki Rd, Granite City, IL 62040 Phone: 314-687-2735 | |
Dalton Alexander Halm, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 619-798-3000 | |
Diane M Schwind, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2044 Madison Ave, Suite 15, Granite City, IL 62040 Phone: 618-451-1500 | |
Dr. Jaime Ann Campbell, DNP, PMHNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 50 Northgate Industrial Dr, Granite City, IL 62040 Phone: 618-512-1919 Fax: 618-512-1920 | |
Julienne Carol Szlufik, APN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 50 Northgate Industrial Dr, Granite City, IL 62040 Phone: 618-877-4420 | |
Robyn Wendt, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 50 Northgate Industrial Dr, Granite City, IL 62040 Phone: 618-877-4420 |