=====================================================
General NPI Number Information
=====================================================
NPI Number | 1285887570
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JANIS A GLOVER NP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/30/2008
-----------------------------------------------------
Last Update Date | 11/17/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 400 8TH ST N
-----------------------------------------------------
City | NAPLES
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34102-5519
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 239-423-7140
-----------------------------------------------------
Fax | 239-567-3666
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6321 DANIELS PKWY STE 200
-----------------------------------------------------
City | FORT MYERS
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33912-4710
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 239-416-8101
-----------------------------------------------------
Fax | 239-402-8601
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number | 9211877
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------