MEDICARE: JANICE MUSICK RN

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
1	163W00000X	Registered Nurse	RN9201397	FL

General Provider Information

NPI Number	:	1932245123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANICE MUSICK RN

Provider Business Mailing Address
First Line	:	300 S MAIN ST
Second Line	:	ATTN HR-PROVIDER ENROLLMENT
City	:	BROOKSVILLE
State	:	FL
Zip	:	34601-3320
Country	:	US
Telephone Number	:	352-540-6800
Fax Number	:	352-754-4088

Provider Business Practice Location Address
First Line	:	7465 FOREST OAKS BLVD
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34606-2449
Country	:	US
Telephone Number	:	352-540-6800
Fax Number	:	352-754-4088

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	07/08/2007

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