Provider Demographics
NPI:1588631501
Name:GILBERT, JANET BYRD (ARNP)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:BYRD
Last Name:GILBERT
Suffix:
Gender:F
Credentials:ARNP
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Other - Credentials:
Mailing Address - Street 1:PO BOX 44008
Mailing Address - Street 2:UFJP PROVIDER ENROLLMENT
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32231-4008
Mailing Address - Country:US
Mailing Address - Phone:904-244-3199
Mailing Address - Fax:904-244-3425
Practice Address - Street 1:542190 US HIGHWAY 1
Practice Address - Street 2:UFJP CALLAHAN FAMILY PRACTICE CENTER
Practice Address - City:CALLAHAN
Practice Address - State:FL
Practice Address - Zip Code:32011-8109
Practice Address - Country:US
Practice Address - Phone:904-879-9803
Practice Address - Fax:904-879-5833
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP730792363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLS99973Medicare UPIN
FLE3665ZMedicare PIN
FLE3665YMedicare PIN