Provider Demographics
NPI:1407857436
Name:QUIGLEY, JANICE (ARNP)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:
Last Name:QUIGLEY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MS
Other - First Name:JANICE
Other - Middle Name:LOUISE
Other - Last Name:EASTERBROOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:8090 SW 78 TERRACE RD
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34476-4504
Mailing Address - Country:US
Mailing Address - Phone:352-237-9314
Mailing Address - Fax:
Practice Address - Street 1:8090 SW 78 TERRACE RD
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34476-4504
Practice Address - Country:US
Practice Address - Phone:352-237-9314
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 417392363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
S50322Medicare UPIN
E85552Medicare ID - Type Unspecified