I’ve been practicing as an Adult Nurse Practitioner for nearly 20 years, after graduating from Vanderbilt University in 2006 with a subspecialty in Cardiovascular Health. Along the way, I discovered a true passion for hormone management, which gives me the rare ability to bridge the world of very sick, complex patients with the world of wellness and prevention. My goal is simple: help people who are struggling feel better, and help those who are well stay that way—avoiding the health problems that tend to sneak up and cut life short. I currently practice in six states—Oregon, Idaho, Utah, New Mexico, Arizona, and Colorado—and bring personalized, practical, evidence-based care to each patient. Outside of medicine, I’m a proud mom of five and a “Gigi” to two grandbabies, which means I understand firsthand the importance of creating vibrant health for the moments (and the people) that matter most.
Welcome to the Confidence Factor...I can't wait to meet you!
XOXO ~Janel
At The Confidence Factor, we believe care should feel different—more personal, more supported, and more focused on you. Your story and your goals matter here, and we take the time to listen without pressure. Integrity guides everything we do, and our training as Nurse Practitioners sets us apart. Many providers who manage hormones have limited understanding of the complex ways hormones interact with the heart, metabolism, and other body systems. With nearly two decades of advanced clinical experience, we bring the expertise needed to connect those dots—so your care is not only effective, but also safe and comprehensive. We often say, you don’t know what you don’t know—and that’s why we’re here: to help you uncover what matters most for your health. Our role is to partner with you, offering honest guidance so you can make the choices that help you feel your best—inside and out—with the confidence you deserve.
Whew—the aging game is not for the faint of heart. The hot flashes, the brain fog, the extra pounds that won’t budge, the heart palpitations, the joint aches—it can feel like your body didn’t get the memo that you’re still young. But here’s the secret: it doesn’t have to be this way. You’re seasoned, capable, and smarter than ever—and you deserve to feel as strong on the outside as you are on the inside. Our job is to help your body keep up with the life you’re living. Hormones, weight, energy, heart health, and metabolism are all connected, and when even one is off, it can throw the whole system out of balance. That’s where we come in—integrating medicine, hormones, and smart strategies to not just manage symptoms, but actually fix what’s causing them. The goal? Helping you feel like yourself again—clear, confident, and unstoppable. Because getting older doesn’t mean slowing down—it means leveling up.
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