Healthcare Provider Details

I. General information

NPI: 1609623032
Provider Name (Legal Business Name): JANET E PAUL ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/03/2024
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 1265
QUINCY FL
32353-1265
US

IV. Provider business mailing address

1723 MAHAN CENTER BLVD
TALLAHASSEE FL
32308-5428
US

V. Phone/Fax

Practice location:
  • Phone: 850-363-8920
  • Fax:
Mailing address:
  • Phone: 850-446-1077
  • Fax: 850-312-4352

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAPRN11032554
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: