Basic Information
Provider Information
NPI: 1265950570
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MEYER
FirstName: JANA
MiddleName: JANKOVSKA
NamePrefix:  
NameSuffix:  
Credential: ARNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 10549
Address2:  
City: ST PETERSBURG
State: FL
PostalCode: 337330549
CountryCode: US
TelephoneNumber: 7278248181
FaxNumber:  
Practice Location
Address1: 7550 43RD ST N
Address2:  
City: PINELLAS PARK
State: FL
PostalCode: 337813601
CountryCode: US
TelephoneNumber: 7278248181
FaxNumber: 7274717892
Other Information
ProviderEnumerationDate: 09/07/2017
LastUpdateDate: 10/11/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XARNP9319065FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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