Provider Demographics
NPI:1225592561
Name:SAPPE, JANEY NICOLE
Entity Type:Individual
Prefix:
First Name:JANEY
Middle Name:NICOLE
Last Name:SAPPE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5851 TIMUQUANA RD STE 401
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32210-8100
Mailing Address - Country:US
Mailing Address - Phone:904-317-5069
Mailing Address - Fax:904-778-6440
Practice Address - Street 1:5851 TIMUQUANA RD STE 401
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32210-8100
Practice Address - Country:US
Practice Address - Phone:904-317-5069
Practice Address - Fax:904-778-6440
Is Sole Proprietor?:No
Enumeration Date:2019-01-30
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN813242363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner