Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 9271576 | FL |
NPI | 1003394198 |
---|---|
Provider Name | Janine Jones |
First Address | Tallahassee, FL 32303-6700 |
Second Address | Tallahassee, FL 32308-5352 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2018 |
Last Update Date | 01/08/2018 |