David, Jan Lorraine C

David, Jan Lorraine C is an individual health care provider with primary practice located at 13067 N Telecom Pkwy , Temple Terrace FL 33637-0926. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. David, Jan Lorraine C can be contacted via phone (813) 779-6303.

Contact Information

Primary practice address
13067 N Telecom Pkwy Temple Terrace FL 33637-0926
Phone: (813) 779-6303
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN9269204 Florida

Profile Details

NPI number 1922497155
LBN Legal business name David, Jan Lorraine C
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2015
Last updated Jul 28th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922497155 NPPES
Florida MEDICAID 113553000

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