Provider Demographics
NPI:1356358428
Name:COLE, JANET M (RN, ARNP , DNC)
Entity type:Individual
Prefix:MS
First Name:JANET
Middle Name:M
Last Name:COLE
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Gender:F
Credentials:RN, ARNP , DNC
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Mailing Address - Street 1:151 SOUTHHALL LN
Mailing Address - Street 2:STE 300
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-7176
Mailing Address - Country:US
Mailing Address - Phone:407-875-2080
Mailing Address - Fax:407-650-3455
Practice Address - Street 1:2255 DUNN AVE
Practice Address - Street 2:BLDG 100, STE 102
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32218-4719
Practice Address - Country:US
Practice Address - Phone:904-224-1171
Practice Address - Fax:904-224-1175
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2014-11-24
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Provider Licenses
StateLicense IDTaxonomies
NJ26N006242100163W00000X
FL925083363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ069992P67Medicare ID - Type Unspecified
P90077Medicare UPIN
FLDP723YMedicare PIN