Ely, Janice A.

Ely, Janice A. is an individual health care provider with primary practice located at 836 Prudential Dr Suite 1103, Jacksonville FL 32207-8338. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Ely, Janice A. can be contacted via phone (904) 398-9499.

Contact Information

Primary practice address
836 Prudential Dr Suite 1103 Jacksonville FL 32207-8338
Phone: (904) 398-9499
Fax: (904) 398-0118
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X APRN1835312 Florida

Profile Details

NPI number 1700800513
LBN Legal business name Ely, Janice A.
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jul 1st, 2021 - about 3 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 1700800513 NPPES
Florida MEDICAID 308966500

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