Healthcare Provider Details

I. General information

NPI: 1821682881
Provider Name (Legal Business Name): JANIE FLEMING ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2021
Last Update Date: 09/19/2023
Certification Date: 10/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8880 NAVARRE PKWY STE 206
NAVARRE FL
32566-3614
US

IV. Provider business mailing address

PO BOX 732892
DALLAS TX
75373-2901
US

V. Phone/Fax

Practice location:
  • Phone: 850-936-6211
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11011724
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: