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Individual
JAN K MICHELSEN
Active
Individual
JAN K MICHELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9226983
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN9226983
FL
363LF0000X
Family Nurse Practitioner
ARNP9226983
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0041501-00
—
FL
01
—
Y09C3
FLORIDA BLUE
FL
Enumeration date
10/06/2011
Last updated
04/01/2019
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