Pettigrew, Janice

Pettigrew, Janice is an individual health care provider with primary practice located at 2569 Gulf Breeze Pkwy , Gulf Breeze FL 32563-3043. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Pettigrew, Janice can be contacted via phone (850) 934-0932.

Contact Information

Primary practice address
2569 Gulf Breeze Pkwy Gulf Breeze FL 32563-3043
Phone: (850) 934-0932
Fax: (850) 934-0737
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP1833042 Florida

Profile Details

NPI number 1548218035
LBN Legal business name Pettigrew, Janice
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Apr 24th, 2015 - about 10 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 1548218035 NPPES
Florida Other Y8122 BCBS

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