Basic Information
| Provider Information | |||||||||
| NPI: | 1922498765 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | SPEER | ||||||||
| FirstName: | JANET | ||||||||
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| Credential: | ARNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4205 BELFORT RD | ||||||||
| Address2: | SUITE 1100 JOE ADAMS BLDG. | ||||||||
| City: | JACKSONVILLE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 322161471 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9043087959 | ||||||||
| FaxNumber: | 9043087938 | ||||||||
| Practice Location | |||||||||
| Address1: | 4205 BELFORT RD | ||||||||
| Address2: | SUITE 1100 JOE ADAMS BLDG. | ||||||||
| City: | JACKSONVILLE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 322161471 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9043087959 | ||||||||
| FaxNumber: | 9043087938 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/02/2015 | ||||||||
| LastUpdateDate: | 02/02/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LA2100X | ARNP3304772 | FL | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Acute Care |
No ID Information.