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NPI Code Detail

MEDICARE: JANICE LEE WHITE APRN

MEDICARE: JANICE LEE WHITE APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP2300XPrimary Care Nurse Practitioner3378682FL
2363L00000XNurse PractitionerAPRN3378682FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215973359
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANICE LEE WHITE APRN
Provider Business Mailing Address
First Line : 1514 NIRA ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8652
Country : US
Telephone Number : 904-387-4991
Fax Number : 904-384-3613
Provider Business Practice Location Address
First Line : 1514 NIRA ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8652
Country : US
Telephone Number : 904-387-4991
Fax Number : 904-384-3613
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2006
Last Update Date : 01/02/2019

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Directions to “ JANICE LEE WHITE APRN” Practice Location

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