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Individual

JANET M FARRELLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1220 WILLIS AVE, DAYTONA BEACH, FL 32114-2810
(800) 539-4228
Mailing address
150 MAGNOLIA AVE, DAYTONA BEACH, FL 32114-4304
(862) 363-2253

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN9494357
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN9494357
FL
364SA2200X
Adult Health Clinical Nurse Specialist
9494357
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
APRN9494357
FL STATE LICENSE
FL
Enumeration date
10/23/2018
Last updated
08/28/2025
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