Provider Demographics
NPI:1760271746
Name:MEGILL, GIAVANNA (CPNP-PC)
Entity type:Individual
Prefix:MRS
First Name:GIAVANNA
Middle Name:
Last Name:MEGILL
Suffix:
Gender:
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 COOLWATER LN
Mailing Address - Street 2:
Mailing Address - City:NICEVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32578-1950
Mailing Address - Country:US
Mailing Address - Phone:732-551-4798
Mailing Address - Fax:
Practice Address - Street 1:91 MACK BAYOU LOOP
Practice Address - Street 2:
Practice Address - City:SANTA ROSA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32459-2604
Practice Address - Country:US
Practice Address - Phone:850-659-6556
Practice Address - Fax:850-659-1309
Is Sole Proprietor?:No
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11039238363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics