Individual
JANICE ANNE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5707 N 22ND ST, TAMPA, FL 33610-4350
(813) 239-8019
Mailing address
11124 IRISH MOSS AVE, RIVERVIEW, FL 33569-2224
(317) 446-3323
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
9316964
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000385003
BLUE SHIELD
IN
Enumeration date
10/25/2006
Last updated
08/22/2013
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