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NPI Code Detail

MEDICARE: MRS. JANICE MARY KIRK APRN

MEDICARE: MRS. JANICE MARY KIRK 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
1363LA2100XAcute Care Nurse PractitionerAPRN2597792FL

Other Identifiers

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

General Provider Information

NPI Number : 1912073321
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JANICE MARY KIRK APRN
Provider Business Mailing Address
First Line : PO BOX 2147
Second Line :
City : FORT MYERS
State : FL
Zip : 33902-2147
Country : US
Telephone Number : 239-343-8260
Fax Number : 239-343-8261
Provider Business Practice Location Address
First Line : 5216 CLAYTON COURT
Second Line :
City : FORT MYERS
State : FL
Zip : 33907-2116
Country : US
Telephone Number : 239-343-8260
Fax Number : 239-424-2442
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2006
Last Update Date : 03/05/2025

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