Healthcare Provider Details

I. General information

NPI: 1952069346
Provider Name (Legal Business Name): ELIZABETH ANN JANDURA APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ELIZABETH ANN FINLAY

II. Dates (important events)

Enumeration Date: 12/02/2021
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9292 SHOAL CREEK DR
TALLAHASSEE FL
32312-4277
US

IV. Provider business mailing address

1116 HIGH ST
PANAMA CITY FL
32404-7016
US

V. Phone/Fax

Practice location:
  • Phone: 850-966-2145
  • Fax: 833-314-0408
Mailing address:
  • Phone: 850-549-7035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number11028835
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: