Healthcare Provider Details

I. General information

NPI: 1538943501
Provider Name (Legal Business Name): JANICE LORRAINE FLETCHER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JANICE FLETCHER APRN

II. Dates (important events)

Enumeration Date: 08/22/2023
Last Update Date: 02/21/2026
Certification Date: 02/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6295 W SAMPLE RD UNIT 670068
CORAL SPRINGS FL
33067-5105
US

IV. Provider business mailing address

6295 W SAMPLE RD UNIT 670068
CORAL SPRINGS FL
33067-5105
US

V. Phone/Fax

Practice location:
  • Phone: 954-470-4818
  • Fax:
Mailing address:
  • Phone: 954-470-4818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number11028497
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11028497
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1139695
License Number StateTX
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1139695
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: