NPI Code Details Logo

NPI 1639351000

NPI 1639351000 : JUNE S CRAFT APRN : EUSTIS, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1639351000
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    JUNE S CRAFT APRN
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/28/2007
-----------------------------------------------------
    Last Update Date     |    02/10/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2044 E ORANGE AVE 
-----------------------------------------------------
    City                 |    EUSTIS
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    32726-4418
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    352-763-3877
-----------------------------------------------------
    Fax                  |    352-329-4378
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    26619 W COVE DR 
-----------------------------------------------------
    City                 |    TAVARES
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    32778-9711
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    606-260-9836
-----------------------------------------------------
    Fax                  |    910-516-6689
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LF0000X
-----------------------------------------------------
    Taxonomy Name        |    Family Nurse Practitioner
-----------------------------------------------------
    License Number       |    3010126
-----------------------------------------------------
    License Number State |    KY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    363LF0000X
-----------------------------------------------------
    Taxonomy Name        |    Family Nurse Practitioner
-----------------------------------------------------
    License Number       |    30835
-----------------------------------------------------
    License Number State |    TN
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    363LF0000X
-----------------------------------------------------
    Taxonomy Name        |    Family Nurse Practitioner
-----------------------------------------------------
    License Number       |    APRN11016802
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    363LP0808X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    APRN11016802
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.