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Individual

JANE M GANNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, CNM, ARNP

Contact information

Practice address
101 S. NEWELL DRIVE, GAINESVILLE, FL 32611
(904) 244-5166
(904) 244-3246
Mailing address
PO BOX 100197, GAINESVILLE, FL 32610-0197
(904) 244-5166
(904) 244-3246

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
9180909
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
304044500
FL
Enumeration date
12/30/2005
Last updated
09/25/2008
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