Dr JANIS J WHITEHEAD is a female medical professional, specializing in Nurse Practitioner. She graduated in 1997.
NEZ PERCE TRIBAL HEALTH AUTHORITY
313 3RD ST
KAMIAH
ID
835365054
Tel: 2086214946
| Npi | 1316930795 |
| Pac Id | 4981742491 |
| Professional Enrollment Id | I20170508000330 |
| Last Name | WHITEHEAD |
| First Name | JANIS |
| Middle Name | J |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1997 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
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| Organization Legal Name | NEZ PERCE TRIBAL HEALTH AUTHORITY |
| Group Practice Pac Id | 0941288302 |
| Number Of Group Practice Members | 12 |
| Line 1 Street Address | 313 3RD ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | KAMIAH |
| State | ID |
| Zip Code | 835365054 |
| Phone Number | 2086214946 |
| Hospital Affiliation Ccn 1 | 130003 |
| Hospital Affiliation Lbn 1 | ST JOSEPH REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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