Provider Demographics
NPI:1003041781
Name:CARVER, JANET ADAMS (ARNP)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:ADAMS
Last Name:CARVER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1890 S 14TH ST # S102
Mailing Address - Street 2:
Mailing Address - City:FERNANDINA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32034-4740
Mailing Address - Country:US
Mailing Address - Phone:904-556-8967
Mailing Address - Fax:833-973-0362
Practice Address - Street 1:1890 S 14TH ST # S102
Practice Address - Street 2:
Practice Address - City:FERNANDINA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32034-4740
Practice Address - Country:US
Practice Address - Phone:904-206-6329
Practice Address - Fax:833-973-0362
Is Sole Proprietor?:No
Enumeration Date:2009-05-24
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2043742363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLIN PROCESSOtherRAILROAD MEDICARE
FLEW924X/EW924YMedicare PIN