Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Janis E Freeman, FNP-C

Individual provider Family Nurse Practitioner · NPI 1730493214

Janis E Freeman, FNP-C is a Nurse Practitioner in New York, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2010, 16 years ago. Practices with Form Health Associates MA, PC, a 39-clinician group. Licensed in New York.

Years since qualifying
16
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2010
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

600 3rd Ave Fl 2
New York, NY 10016-1919
Phone: (617) 505-1520
Fax: (617) 928-8401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F336439-1 (NY)

Record details

NPI number1730493214
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJuly 27, 2010
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Form Health Associates Ma, P.C. — 39 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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