Provider Demographics
NPI:1013024827
Name:GILBREATH, JANET LEA (DNP, FNP, PMHNP)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:LEA
Last Name:GILBREATH
Suffix:
Gender:F
Credentials:DNP, FNP, PMHNP
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:
Other - Last Name:DYER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DNP, PMHNP
Mailing Address - Street 1:2360 W FOXGLOVE DR
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83686-4955
Mailing Address - Country:US
Mailing Address - Phone:630-854-4115
Mailing Address - Fax:
Practice Address - Street 1:2360 W FOXGLOVE DR
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83686-4955
Practice Address - Country:US
Practice Address - Phone:630-854-4115
Practice Address - Fax:208-288-4279
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209004763363LF0000X
ID631282084P0800X, 163W00000X
IL103024827363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1013024827OtherNPI NUMBER
IL209004763OtherLICENSE