Healthcare Provider Details

I. General information

NPI: 1588631501
Provider Name (Legal Business Name): JANET BYRD GILBERT ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2006
Last Update Date: 03/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

542190 US HIGHWAY 1 UFJP CALLAHAN FAMILY PRACTICE CENTER
CALLAHAN FL
32011-8109
US

IV. Provider business mailing address

PO BOX 44008 UFJP PROVIDER ENROLLMENT
JACKSONVILLE FL
32231-4008
US

V. Phone/Fax

Practice location:
  • Phone: 904-879-9803
  • Fax: 904-879-5833
Mailing address:
  • Phone: 904-244-3199
  • Fax: 904-244-3425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP730792
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: