Provider Demographics
NPI:1497593867
Name:IDOL, JANET LENORA (FNP-C)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:LENORA
Last Name:IDOL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 N GRAHAM HOPEDALE RD FL B
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27217-2992
Mailing Address - Country:US
Mailing Address - Phone:336-227-0101
Mailing Address - Fax:336-513-5593
Practice Address - Street 1:319 N GRAHAM HOPEDALE RD FL B
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27217-2992
Practice Address - Country:US
Practice Address - Phone:336-227-0101
Practice Address - Fax:336-513-5593
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-18
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5020453363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily