Gannon, Jane M

Gannon, Jane M is an individual health care provider with primary practice located at 101 S. Newell Drive , Gainesville FL 32611. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Gannon, Jane M can be contacted via phone (904) 244-5166.

Contact Information

Primary practice address
101 S. Newell Drive Gainesville FL 32611
Phone: (904) 244-5166
Fax: (904) 244-3246
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 9180909 Florida

Profile Details

NPI number 1912985847
LBN Legal business name Gannon, Jane M
Credentials MSN, CNM, ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Sep 25th, 2008 - about 18 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 1912985847 NPPES
Florida MEDICAID 304044500

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