Provider Demographics
NPI:1407212608
Name:BROWN-DEPASS, JANET HYACINTH (ARNP)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:HYACINTH
Last Name:BROWN-DEPASS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MS
Other - First Name:JANET
Other - Middle Name:HYACINTH
Other - Last Name:BROWN-DEPASS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARNP
Mailing Address - Street 1:30700 LIPIZZAN TER
Mailing Address - Street 2:
Mailing Address - City:MOUNT DORA
Mailing Address - State:FL
Mailing Address - Zip Code:32757-7838
Mailing Address - Country:US
Mailing Address - Phone:407-719-5228
Mailing Address - Fax:
Practice Address - Street 1:601 BROOKER CREEK BLVD
Practice Address - Street 2:
Practice Address - City:OLDSMAR
Practice Address - State:FL
Practice Address - Zip Code:34677-2962
Practice Address - Country:US
Practice Address - Phone:407-951-3745
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-05
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1991022363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLRN1991022OtherFL RN LICENSE
FLAPRN1991022OtherFL APRN LICENSE