Provider Demographics
NPI:1568573830
Name:DAUGHTRY, JANET LYNN (ARNP-CNM)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:LYNN
Last Name:DAUGHTRY
Suffix:
Gender:F
Credentials:ARNP-CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3268 66TH ST N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33710-1511
Mailing Address - Country:US
Mailing Address - Phone:727-456-0750
Mailing Address - Fax:727-456-0751
Practice Address - Street 1:3268 66TH ST N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-1511
Practice Address - Country:US
Practice Address - Phone:727-456-0750
Practice Address - Fax:727-456-0751
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2512222363L00000X, 367A00000X, 363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife