Provider Demographics
NPI:1437229226
Name:GYSI, JANET LYNN (ARNPC)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:LYNN
Last Name:GYSI
Suffix:
Gender:F
Credentials:ARNPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 SANDALWOOD LN
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32413-2667
Mailing Address - Country:US
Mailing Address - Phone:850-234-5241
Mailing Address - Fax:850-234-8556
Practice Address - Street 1:120 SANDALWOOD LN
Practice Address - Street 2:
Practice Address - City:PANAMA CITY BEACH
Practice Address - State:FL
Practice Address - Zip Code:32413-2667
Practice Address - Country:US
Practice Address - Phone:850-234-5241
Practice Address - Fax:850-234-8556
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3379702363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL300700600Medicaid