Healthcare Provider Details

I. General information

NPI: 1285887570
Provider Name (Legal Business Name): JANIS A GLOVER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/30/2008
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 8TH ST N
NAPLES FL
34102-5519
US

IV. Provider business mailing address

6321 DANIELS PKWY STE 200
FORT MYERS FL
33912-4710
US

V. Phone/Fax

Practice location:
  • Phone: 239-423-7140
  • Fax: 239-567-3666
Mailing address:
  • Phone: 239-416-8101
  • Fax: 239-402-8601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number9211877
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: