| Doctor Name: | AMBER NICOLE JANIS |
| NPI Number: | 1598920738 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PMHNP-BC |
| License Number: | AP3018 |
| Business Practice Address: | E. Hwy 18, 4500 Hospital Drive Pine Ridge Indian Health Service Hospital Pine Ridge, SD - 577701201 |
| Business Phone Number: | 6058673056 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1201, Pine Ridge Indian Health Service Hospital PINE RIDGE |
| State: | SD |
| Postal Code: | 577701201 |
| Phone Number: | 6058673056 |
| Fax Number: | |
| NPI Enumeration Date: | 07/28/2008 |
| NPI Last Update Date: | 12/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | AP3018 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |